WILLIAM T BOULWARE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067662

License Status

NOT RENEWED

Business

First Name

WILLIAM T

Last Name

BOULWARE

Suffix

Business Name

WILLIAM T BOULWARE MD

Original Issue Date

09/28/1983

Effective Date

09/28/1983

Expiration Date

07/31/1987

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006