CHRISTOPHER MICHAEL BOISSELLE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057891

License Status

EXPIRED

Business

First Name

CHRISTOPHER

Middle

MICHAEL

Last Name

BOISSELLE

Suffix

Business Name

CHRISTOPHER MICHAEL BOISSELLE MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/07/2013