IVAN M BORRELLO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028262

License Status

EXPIRED

Business

First Name

IVAN

Middle

Last Name

BORRELLO

Business Name

IVAN M BORRELLO

Original Issue Date

05/20/1992

Effective Date

05/20/1992

Expiration Date

06/23/1995

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006