KEITH D BOWERSOX MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019858

License Status

EXPIRED

Business

First Name

KEITH

Middle

Last Name

BOWERSOX

Suffix

Business Name

KEITH D BOWERSOX MD

Original Issue Date

06/26/1986

Effective Date

06/26/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006