CHARLES S BOUCHARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036080233

License Status

ACTIVE

Business

First Name

CHARLES

Middle

Last Name

BOUCHARD

Suffix

Business Name

CHARLES S BOUCHARD MD

Original Issue Date

07/02/1990

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

07/26/2023