ROBERT JOSEPH BOUCEK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052901

License Status

INACTIVE

Business

First Name

ROBERT JOSEPH

Last Name

BOUCEK

Suffix

Business Name

ROBERT JOSEPH BOUCEK MD

Original Issue Date

07/15/1976

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/07/2011