ANNA K BORRILLO VAWTER - Medical Doctor License in Illinois | # 125040178

ANNA K BORRILLO VAWTER

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040178

License Status

EXPIRED

Business

N

First Name

ANNA

Middle

K

Last Name

BORRILLO VAWTER

Business Name

ANNA K BORRILLO VAWTER

Original Issue Date

06/23/1999

Effective Date

06/23/1999

Expiration Date

06/22/2002

State

IL

Specialty/Qualifier

Dermatology

Ever Disciplined

N

LastModifiedDate

09/22/2006