MARLON E BOHORQUEZ MD - Medical Doctor License in Illinois | # 125070458

MARLON E BOHORQUEZ MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070458

License Status

CANCELLED

Business

N

Title

MD

First Name

MARLON

Middle

E

Last Name

BOHORQUEZ

Business Name

MARLON E BOHORQUEZ MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

State

IL

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

N

LastModifiedDate

05/18/2017