CHRISTOPHER A BOUTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

Last Name

BOUTIN

Suffix

Business Name

CHRISTOPHER A BOUTIN MD

Original Issue Date

11/14/2006

Effective Date

11/14/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

04/05/2020