STEPHEN BOSSENBERRY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024976

License Status

EXPIRED

Business

First Name

STEPHEN

Last Name

BOSSENBERRY

Suffix

Business Name

STEPHEN BOSSENBERRY MD

Original Issue Date

05/22/1990

Effective Date

05/22/1990

Expiration Date

06/22/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006