MATTHEW M BOWERSOX MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067142

License Status

CANCELLED

Business

First Name

MATTHEW

Middle

Last Name

BOWERSOX

Suffix

Business Name

MATTHEW M BOWERSOX MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/29/2018