JOHN A BOSTROM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038754

License Status

NOT RENEWED

Business

First Name

JOHN A

Last Name

BOSTROM

Suffix

Business Name

JOHN A BOSTROM MD

Original Issue Date

11/26/1963

Effective Date

11/26/1963

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/20/2006