ROBIN F BORCHARDT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

ROBIN F

Last Name

BORCHARDT

Suffix

Business Name

ROBIN F BORCHARDT MD

Original Issue Date

08/14/1986

Effective Date

08/14/1986

Expiration Date

07/31/1996

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020