JOHN ROBERT BOARDMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053647

License Status

NOT RENEWED

Business

First Name

JOHN ROBERT

Last Name

BOARDMAN

Suffix

Business Name

JOHN ROBERT BOARDMAN MD

Original Issue Date

09/17/1976

Effective Date

09/17/1976

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006