SUZANNE ALLISON BOSMAN MD - Medical Doctor License in Illinois | # 125051232

SUZANNE ALLISON BOSMAN MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051232

License Status

CANCELLED

Business

N

First Name

SUZANNE

Middle

ALLISON

Last Name

BOSMAN

Suffix

MD

Business Name

SUZANNE ALLISON BOSMAN MD

Original Issue Date

07/10/2009

Effective Date

07/10/2009

Expiration Date

07/09/2011

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

06/01/2009