LEIF BOGE SORENSEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038252

License Status

INACTIVE

Business

First Name

LEIF BOGE

Last Name

SORENSEN

Suffix

Business Name

LEIF BOGE SORENSEN MD

Original Issue Date

12/07/1962

Effective Date

12/07/1962

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006