ALAN VINCENT BORUCH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048426

License Status

CANCELLED

Business

First Name

ALAN

Middle

VINCENT

Last Name

BORUCH

Suffix

Business Name

ALAN VINCENT BORUCH DO

Original Issue Date

06/21/2004

Effective Date

06/21/2004

Expiration Date

06/20/2007

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006