MICHAEL ANTHONY BOFFA MD - Medical Doctor License in Illinois | # 125059244

MICHAEL ANTHONY BOFFA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059244

License Status

EXPIRED

Business

N

Title

MD

First Name

MICHAEL

Middle

ANTHONY

Last Name

BOFFA

Business Name

MICHAEL ANTHONY BOFFA MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

State

IL

Specialty/Qualifier

Neurology

Ever Disciplined

N

LastModifiedDate

09/04/2015