HEIDI H BORCA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000344

License Status

EXPIRED

Business

First Name

HEIDI

Middle

Last Name

BORCA

Business Name

HEIDI H BORCA

Original Issue Date

09/14/1996

Effective Date

09/14/1996

Expiration Date

10/12/1996

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006