TERESA A DAMIAN BORJA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****21

License Status

NOT RENEWED

Business

First Name

TERESA

Middle

Last Name

DAMIAN BORJA

Business Name

TERESA A DAMIAN BORJA

Original Issue Date

08/09/1999

Effective Date

08/09/1999

Expiration Date

01/31/2001

City

CHICAGO

State

Zip

60606

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006