ANNA K BORRILLO VAWTER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040178

License Status

EXPIRED

Business

First Name

ANNA

Middle

Last Name

BORRILLO VAWTER

Business Name

ANNA K BORRILLO VAWTER

Original Issue Date

06/23/1999

Effective Date

06/23/1999

Expiration Date

06/22/2002

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006