License holder summary

Mark Mansfield Boucek is a Medical - Physician licensed to practice in Colorado. The address on file for Mark Mansfield Boucek is Director Of Pediatric Cardiology, 1150 North 35th Avenue, Hollywood, FL, 33021-3021. This licensed professional license is not current. The license was granted 10/08/1992 and expired on 03/14/2011.

Colorado

Division of Professions and Occupations

Mark Mansfield Boucek
Medical - Physician
License number
32147
Date granted
10/08/1992
Date expires
03/14/2011
Class
Medical - Physician
Status
Expired
Address
Director Of Pediatric Cardiology, 1150 North 35th Avenue, Hollywood, FL, 33021-3021
coloradolicensing.org
ID 27432651
LAST UPDATED 2024-05-02 17:11:20 UTC

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