SUZANNE ALLISON BOSMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051232

License Status

CANCELLED

Business

First Name

SUZANNE

Middle

ALLISON

Last Name

BOSMAN

Suffix

Business Name

SUZANNE ALLISON BOSMAN MD

Original Issue Date

07/10/2009

Effective Date

07/10/2009

Expiration Date

07/09/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

06/01/2009