BRAD M BORGWARDT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069860

License Status

INACTIVE

Business

First Name

BRAD M

Last Name

BORGWARDT

Suffix

Business Name

BRAD M BORGWARDT MD

Original Issue Date

11/16/1984

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

MORRISON

State

Zip

61270

County

WHITESIDE

Ever Disciplined

LastModifiedDate

06/23/2014