OSWALD BOSTIC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

OSWALD

Last Name

BOSTIC

Suffix

Business Name

OSWALD BOSTIC MD

Original Issue Date

06/07/2004

Effective Date

06/07/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017