KRISTINA RACHELLE BORGEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051559

License Status

EXPIRED

Business

First Name

KRISTINA

Middle

RACHELLE

Last Name

BORGEN

Suffix

Business Name

KRISTINA RACHELLE BORGEN MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

BARRINGTON

State

Zip

60010

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

07/15/2009