MICHAEL ANTHONY BOFFA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059244

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

ANTHONY

Last Name

BOFFA

Business Name

MICHAEL ANTHONY BOFFA MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/04/2015