MARK M BOUCEK
Physician - Physician & Surgeon
Utah 164803-1205 Expired
This Utah license was held by MARK M BOUCEK. The license is no longer active. It was granted on 02/19/1980 and expired on 12/31/1988
LICENSE DETAILS
- License Number: 164803-1205
- Category: PHYSICIAN & SURGEON
- Status: Expired
- Date Granted: 02/19/1980 (over 45 years ago)
- Expiry Date: 12/31/1988 (over 36 years ago)
LOCATIONS
A Address
SALT LAKE CITY, UT 84108