CARLA MARIA BOSSANO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132188

License Status

NOT RENEWED

Business

Title

First Name

CARLA

Middle

MARIA

Last Name

BOSSANO

Business Name

CARLA MARIA BOSSANO MD

Original Issue Date

04/01/2013

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017