CHRISTA LIESCHE BORGMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142649

License Status

NOT RENEWED

Business

Title

First Name

CHRISTA

Middle

LIESCHE

Last Name

BORGMAN

Business Name

CHRISTA LIESCHE BORGMAN MD

Original Issue Date

03/10/2017

Effective Date

06/15/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021