MARIA SARAH SOPHIE BOVENBERG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070980

License Status

EXPIRED

Business

Title

First Name

MARIA

Middle

SARAH SOPHIE

Last Name

BOVENBERG

Business Name

MARIA SARAH SOPHIE BOVENBERG MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/25/2018