CARLA MARIA BOSSANO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056384

License Status

CANCELLED

Business

Title

First Name

CARLA

Middle

MARIA

Last Name

BOSSANO

Business Name

CARLA MARIA BOSSANO MD

Original Issue Date

06/22/2012

Effective Date

06/22/2012

Expiration Date

06/21/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

06/04/2012