DAVID M BOREN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060001

License Status

EXPIRED

Business

Title

First Name

DAVID

Middle

Last Name

BOREN

Business Name

DAVID M BOREN MD

Original Issue Date

04/01/2014

Effective Date

04/01/2014

Expiration Date

06/10/2014

City

IDAHO FALLS

State

Zip

83404

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/13/2015

Case Number

2013010341

Action

Probation

Discipline Start Date

03/14/2014

Discipline End Date

06/10/2014

Discipline Reason

due to his voluntary resignation from a previous residency program after the program placed him on probation.