STEPHEN BOSSENBERRY MD - Medical Doctor License in Illinois | # 125024976

STEPHEN BOSSENBERRY MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024976

License Status

EXPIRED

Business

N

First Name

STEPHEN

Last Name

BOSSENBERRY

Suffix

MD

Business Name

STEPHEN BOSSENBERRY MD

Original Issue Date

05/22/1990

Effective Date

05/22/1990

Expiration Date

06/22/1994

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

09/22/2006