ISAAC JAMES BOURGEOIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068443

License Status

CANCELLED

Business

Title

First Name

ISAAC

Middle

JAMES

Last Name

BOURGEOIS

Business Name

ISAAC JAMES BOURGEOIS MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

03/13/2019