STEFANO JOHN BORDOLI MD - Medical Doctor License in Illinois | # 125051812

STEFANO JOHN BORDOLI MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051812

License Status

CANCELLED

Business

N

First Name

STEFANO

Middle

JOHN

Last Name

BORDOLI

Suffix

MD

Business Name

STEFANO JOHN BORDOLI MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

09/22/2006