ALPA BOSHKU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

Title

First Name

ALPA

Last Name

BOSHKU

Business Name

ALPA BOSHKU MD

Original Issue Date

11/10/2015

Effective Date

08/12/2020

Expiration Date

07/31/2023

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023