WILFRED KEITH BOARDEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

First Name

WILFRED KEITH

Last Name

BOARDEN

Suffix

Business Name

WILFRED KEITH BOARDEN MD

Original Issue Date

07/05/1983

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023