ALIX BOUCHETTE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017661

License Status

EXPIRED

Business

First Name

ALIX

Last Name

BOUCHETTE

Suffix

Business Name

ALIX BOUCHETTE MD

Original Issue Date

09/04/1984

Effective Date

09/04/1984

Expiration Date

07/01/1986

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006