GEOFFREY T BOUC MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144318

License Status

ACTIVE

Business

Title

First Name

GEOFFREY

Middle

Last Name

BOUC

Business Name

GEOFFREY T BOUC MD

Original Issue Date

09/13/2017

Effective Date

07/23/2023

Expiration Date

07/31/2026

City

BELOIT

State

Zip

53511

Ever Disciplined

LastModifiedDate

07/23/2023