STEFANO JOHN BORDOLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

STEFANO

Middle

JOHN

Last Name

BORDOLI

Suffix

Business Name

STEFANO JOHN BORDOLI MD

Original Issue Date

05/19/2009

Effective Date

04/22/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014