CHRISTOPHER A BOUTIN MD - Medical Doctor License in Illinois | # 125041200

CHRISTOPHER A BOUTIN MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041200

License Status

EXPIRED

Business

N

First Name

CHRISTOPHER

Middle

A

Last Name

BOUTIN

Suffix

MD

Business Name

CHRISTOPHER A BOUTIN MD

Original Issue Date

06/16/2000

Effective Date

06/16/2000

Expiration Date

06/15/2003

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006