SUZANNE ALLISON BOSMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

SUZANNE

Middle

ALLISON

Last Name

BOSMAN

Suffix

Business Name

SUZANNE ALLISON BOSMAN MD

Original Issue Date

04/12/2011

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021