BOSS POVIENG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036168979

License Status

ACTIVE

Business

Title

First Name

BOSS

Last Name

POVIENG

Business Name

BOSS POVIENG MD

Original Issue Date

02/26/2024

Effective Date

02/26/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

02/26/2024