WILLIAM T BOULWARE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014296

License Status

EXPIRED

Business

First Name

WILLIAM T

Last Name

BOULWARE

Suffix

Business Name

WILLIAM T BOULWARE MD

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

06/26/1984

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006