JOSEPH EDWIN BOURQUE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065260

License Status

NOT RENEWED

Business

First Name

JOSEPH EDWIN

Last Name

BOURQUE

Suffix

Business Name

JOSEPH EDWIN BOURQUE MD

Original Issue Date

08/30/1982

Effective Date

08/30/1982

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006