ADAM JOSEPH NEWBORN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075051

License Status

CANCELLED

Business

Title

First Name

ADAM

Middle

JOSEPH

Last Name

NEWBORN

Business Name

ADAM JOSEPH NEWBORN DO

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2022

City

OAK LAWN

State

Zip

60453

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/17/2019