RW BOULOS MD SC - Medical Corporation License in Illinois | # 042006856

RW BOULOS MD SC

Business Entity

CLOSED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042006856

License Status

CLOSED

Business

Y

Business Name

RW BOULOS MD SC

Original Issue Date

06/28/1991

Effective Date

06/28/1991

Expiration Date

01/01/2005

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006