KRISTINE K BORDENAVE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

First Name

KRISTINE

Middle

Last Name

BORDENAVE

Suffix

Business Name

KRISTINE K BORDENAVE MD

Original Issue Date

08/07/2006

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023