LIA MARIE BORJA SABALO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059343

License Status

EXPIRED

Business

Title

First Name

LIA MARIE

Middle

BORJA

Last Name

SABALO

Business Name

LIA MARIE BORJA SABALO MD

Original Issue Date

06/26/2011

Effective Date

06/26/2011

Expiration Date

06/25/2014

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/13/2015