BARBARA T BORGIONE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****42

License Status

NOT RENEWED

Business

First Name

BARBARA T

Last Name

BORGIONE

Business Name

BARBARA T BORGIONE

Original Issue Date

02/22/2001

Effective Date

03/08/2018

Expiration Date

03/01/2020

City

LA GRANGE HIGHLANDS

State

Zip

60525

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020