ANNA K BORRILLO VAWTER Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

CANCELLED

Business

First Name

ANNA

Middle

Last Name

BORRILLO VAWTER

Business Name

ANNA K BORRILLO VAWTER

Original Issue Date

12/04/2002

Effective Date

12/04/2002

Expiration Date

07/31/2008

City

OSWEGO

State

Zip

60543

County

KENDALL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008