HOLOFERNE R PERE DEBORROTO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050680

License Status

NOT RENEWED

Business

First Name

HOLOFERNE R PERE

Last Name

DEBORROTO

Suffix

Business Name

HOLOFERNE R PERE DEBORROTO MD

Original Issue Date

02/25/1975

Effective Date

09/08/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023