VERA R BOUTROS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054330

License Status

EXPIRED

Business

Title

First Name

VERA

Middle

Last Name

BOUTROS

Business Name

VERA R BOUTROS MD

Original Issue Date

06/30/2009

Effective Date

06/30/2009

Expiration Date

06/29/2011

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/19/2011