BRUCE E BOSSE - Medical Doctor License in Illinois | # 125020956

BRUCE E BOSSE

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020956

License Status

EXPIRED

Business

N

First Name

BRUCE

Middle

E

Last Name

BOSSE

Business Name

BRUCE E BOSSE

Original Issue Date

05/23/1987

Effective Date

05/23/1987

Expiration Date

06/20/1990

State

IL

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

N

LastModifiedDate

09/22/2006