TANJA BOSKOV MD - Medical Doctor License in Illinois | # 125031853

TANJA BOSKOV MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031853

License Status

EXPIRED

Business

N

First Name

TANJA

Last Name

BOSKOV

Suffix

MD

Business Name

TANJA BOSKOV MD

Original Issue Date

06/15/1994

Effective Date

06/15/1994

Expiration Date

06/30/1997

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006