MICHAEL J BORN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071552

License Status

INACTIVE

Business

First Name

MICHAEL J

Last Name

BORN

Suffix

Business Name

MICHAEL J BORN MD

Original Issue Date

08/16/1985

Effective Date

04/16/2014

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/11/2017

Case Number

2010004617

Action

Reprimand

Discipline Start Date

12/20/2010

Discipline Reason

after being disciplined by the state of West Virginia.