ANDREW JOHN BOSSERMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066991

License Status

EXPIRED

Business

Title

First Name

ANDREW

Middle

JOHN

Last Name

BOSSERMAN

Business Name

ANDREW JOHN BOSSERMAN MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2016

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/16/2016