STEPHEN MICHAEL BOSKOVICH DO - Medical Doctor License in Illinois | # 125045950

STEPHEN MICHAEL BOSKOVICH DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045950

License Status

EXPIRED

Business

N

First Name

STEPHEN

Middle

MICHAEL

Last Name

BOSKOVICH

Suffix

DO

Business Name

STEPHEN MICHAEL BOSKOVICH DO

Original Issue Date

06/19/2003

Effective Date

06/19/2003

Expiration Date

06/30/2007

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

07/03/2007