JOSEPH EDWIN BOURQUE MD - Medical Doctor License in Illinois | # 125012317

JOSEPH EDWIN BOURQUE MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012317

License Status

EXPIRED

Business

N

First Name

JOSEPH EDWIN

Last Name

BOURQUE

Suffix

MD

Business Name

JOSEPH EDWIN BOURQUE MD

Original Issue Date

05/26/1981

Effective Date

05/26/1981

Expiration Date

06/24/1983

State

IL

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

N

LastModifiedDate

09/22/2006