CHARLES LEMONT BOURSIER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131740

License Status

ACTIVE

Business

Title

First Name

CHARLES

Middle

LEMONT

Last Name

BOURSIER

Business Name

CHARLES LEMONT BOURSIER MD

Original Issue Date

11/19/2012

Effective Date

05/27/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/27/2023