TONY B BORBOA JR Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111183

License Status

INACTIVE

Business

First Name

TONY

Middle

Last Name

BORBOA JR

Business Name

TONY B BORBOA JR

Original Issue Date

04/13/2004

Effective Date

04/13/2004

Expiration Date

07/31/2005

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006