ADRIAN RICHARD BOURQUE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060698

License Status

INACTIVE

Business

First Name

ADRIAN RICHARD

Last Name

BOURQUE

Suffix

Business Name

ADRIAN RICHARD BOURQUE MD

Original Issue Date

07/25/1980

Effective Date

07/25/1980

Expiration Date

07/31/1987

City

WAUSAU

State

Zip

54401

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006