DEAN MICHAEL BOSLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140831

License Status

NOT RENEWED

Business

Title

First Name

DEAN

Middle

MICHAEL

Last Name

BOSLEY

Business Name

DEAN MICHAEL BOSLEY MD

Original Issue Date

06/07/2016

Effective Date

09/15/2020

Expiration Date

07/31/2023

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

11/30/2023