MARLON E BOHORQUEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070458

License Status

CANCELLED

Business

Title

First Name

MARLON

Middle

Last Name

BOHORQUEZ

Business Name

MARLON E BOHORQUEZ MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

05/18/2017