NATHAN CLARK BOREN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066041

License Status

EXPIRED

Business

Title

First Name

NATHAN

Middle

CLARK

Last Name

BOREN

Business Name

NATHAN CLARK BOREN MD

Original Issue Date

07/08/2017

Effective Date

07/08/2017

Expiration Date

07/07/2019

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/02/2019