HAROLD J P VAN BOSSE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023579

License Status

EXPIRED

Business

First Name

HAROLD J P

Last Name

VAN BOSSE

Suffix

Business Name

HAROLD J P VAN BOSSE MD

Original Issue Date

05/09/1989

Effective Date

05/09/1989

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006