RICHARD THOMAS BOUCHE Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003170

License Status

NOT RENEWED

Business

First Name

RICHARD THOMAS

Last Name

BOUCHE

Business Name

RICHARD THOMAS BOUCHE

Original Issue Date

06/23/1980

Effective Date

06/23/1980

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006