RICHARD CARLTON BORONOW MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036974

License Status

INACTIVE

Business

First Name

RICHARD CARLTON

Last Name

BORONOW

Suffix

Business Name

RICHARD CARLTON BORONOW MD

Original Issue Date

12/01/1960

Effective Date

12/01/1960

Expiration Date

07/31/1987

City

JACKSON

State

Zip

39202

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

09/20/2006