BHASKAR D BOSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111069

License Status

NOT RENEWED

Business

First Name

BHASKAR

Middle

Last Name

BOSE

Suffix

Business Name

BHASKAR D BOSE MD

Original Issue Date

03/23/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Ever Disciplined

LastModifiedDate

11/06/2008