MICHAEL J BORN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

BORN

Suffix

Business Name

MICHAEL J BORN MD

Original Issue Date

03/14/2006

Effective Date

03/14/2006

Expiration Date

07/31/2008

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017