DEBARATI BANERJI BOSE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048735

License Status

EXPIRED

Business

First Name

DEBARATI

Last Name

BANERJI BOSE

Suffix

Business Name

DEBARATI BANERJI BOSE MD

Original Issue Date

07/15/2004

Effective Date

07/15/2004

Expiration Date

07/14/2007

City

OSWEGO

State

Zip

60543

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/25/2007