ERIC W BOOSE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039338

License Status

EXPIRED

Business

First Name

ERIC

Middle

Last Name

BOOSE

Business Name

ERIC W BOOSE

Original Issue Date

06/14/1999

Effective Date

06/14/1999

Expiration Date

06/13/2002

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006