SHYAMAL BOSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046084

License Status

NOT RENEWED

Business

First Name

SHYAMAL

Last Name

BOSE

Suffix

Business Name

SHYAMAL BOSE MD

Original Issue Date

08/17/1972

Effective Date

06/30/2020

Expiration Date

07/31/2023

City

BURR RIDGE

State

Zip

60527

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023