JOEL LEON BORGEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051558

License Status

CANCELLED

Business

First Name

JOEL

Middle

LEON

Last Name

BORGEN

Suffix

Business Name

JOEL LEON BORGEN MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

BARRINGTON

State

Zip

60010

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006