BOGUSLAW A HERSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032646

License Status

NOT RENEWED

Business

First Name

BOGUSLAW A

Last Name

HERSE

Suffix

Business Name

BOGUSLAW A HERSE MD

Original Issue Date

03/16/1954

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011