KEITH D BOWERSOX MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078229

License Status

ACTIVE

Business

First Name

KEITH

Middle

Last Name

BOWERSOX

Suffix

Business Name

KEITH D BOWERSOX MD

Original Issue Date

12/07/1988

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2023