CHRISTA LIESCHE BORGMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

Title

First Name

CHRISTA

Middle

LIESCHE

Last Name

BORGMAN

Business Name

CHRISTA LIESCHE BORGMAN MD

Original Issue Date

03/10/2017

Effective Date

06/15/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021