MICHAEL S BOEDEFELD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000572

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

Last Name

BOEDEFELD

Business Name

MICHAEL S BOEDEFELD

Original Issue Date

06/02/2003

Effective Date

06/02/2003

Expiration Date

03/09/2003

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/25/2006