ROBERT J BORN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

First Name

ROBERT J

Last Name

BORN

Suffix

DPM

Business Name

ROBERT J BORN DPM

Original Issue Date

01/01/1998

Effective Date

12/13/2016

Expiration Date

01/31/2019

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019