JARED SETH BORTMAN MD - Medical Doctor License in Illinois | # 125053521

JARED SETH BORTMAN MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053521

License Status

EXPIRED

Business

N

First Name

JARED

Middle

SETH

Last Name

BORTMAN

Suffix

MD

Business Name

JARED SETH BORTMAN MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

07/15/2009