License holder summary

MARK M BOUCEK is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for MARK M BOUCEK is SALT LAKE CITY, UT 84108. This licensed professional license is not current. The license was granted 02/19/1980 and expired on 12/31/1988.

Utah

Division of Occupational and Professional Licensing

MARK M BOUCEK
Physician - Physician & Surgeon
License number
164803-1205
Date granted
02/19/1980
Date expires
12/31/1988
Class
Physician - Physician & Surgeon
Status
Expired
Address
SALT LAKE CITY, UT 84108
utahlicensing.org
ID 29929751
LAST UPDATED 2024-04-28 11:58:16 UTC

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