WILLIAM T BOULWARE MD - Medical Doctor License in Illinois | # 125014296

WILLIAM T BOULWARE MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014296

License Status

EXPIRED

Business

N

First Name

WILLIAM T

Last Name

BOULWARE

Suffix

MD

Business Name

WILLIAM T BOULWARE MD

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

06/26/1984

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006