WILFRED KEITH BOARDEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013021

License Status

EXPIRED

Business

First Name

WILFRED KEITH

Last Name

BOARDEN

Suffix

Business Name

WILFRED KEITH BOARDEN MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

07/01/1983

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006