RW BOULOS MD SC Medical Corporation License verification

Business Entity

CLOSED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042006856

License Status

CLOSED

Business

Business Name

RW BOULOS MD SC

Original Issue Date

06/28/1991

Effective Date

06/28/1991

Expiration Date

01/01/2005

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/26/2006