LEONARD B DEBOUCK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019789

License Status

EXPIRED

Business

First Name

LEONARD B

Last Name

DEBOUCK

Suffix

Business Name

LEONARD B DEBOUCK MD

Original Issue Date

06/26/1986

Effective Date

06/26/1986

Expiration Date

07/01/1989

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006