VERA R BOUTROS MD - Medical Doctor License in Illinois | # 125054330

VERA R BOUTROS MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054330

License Status

EXPIRED

Business

N

Title

MD

First Name

VERA

Middle

R

Last Name

BOUTROS

Business Name

VERA R BOUTROS MD

Original Issue Date

06/30/2009

Effective Date

06/30/2009

Expiration Date

06/29/2011

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

07/19/2011