KEVIN BOUBOULEIX MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161095

License Status

ACTIVE

Business

Title

First Name

KEVIN

Last Name

BOUBOULEIX

Business Name

KEVIN BOUBOULEIX MD

Original Issue Date

06/29/2022

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

06/14/2023