JOSEPH EDWARD BOURQUE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

JOSEPH EDWARD

Last Name

BOURQUE

Suffix

Business Name

JOSEPH EDWARD BOURQUE MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006