ERIK BORNCAMP MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035957

License Status

EXPIRED

Business

First Name

ERIK

Last Name

BORNCAMP

Suffix

Business Name

ERIK BORNCAMP MD

Original Issue Date

05/12/1997

Effective Date

05/12/1997

Expiration Date

06/15/2000

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006