JOHN M BOUDEMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

JOHN M

Last Name

BOUDEMAN

Suffix

Business Name

JOHN M BOUDEMAN MD

Original Issue Date

07/07/1997

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

WINFIELD

State

Zip

60190

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2023