JOSEPH EDWARD BOURQUE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036029242

License Status

NOT RENEWED

Business

First Name

JOSEPH EDWARD

Last Name

BOURQUE

Suffix

Business Name

JOSEPH EDWARD BOURQUE MD

Original Issue Date

12/03/1948

Effective Date

12/03/1948

Expiration Date

07/31/1990

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006