JOHN WALTER ROXBOROUGH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070326

License Status

EXPIRED

Business

Title

First Name

JOHN

Middle

WALTER

Last Name

ROXBOROUGH

Business Name

JOHN WALTER ROXBOROUGH MD

Original Issue Date

06/26/2017

Effective Date

06/26/2017

Expiration Date

06/25/2020

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/19/2020