Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****26

NOT RENEWED

N

MD

CARLA

MARIA

BOSSANO

CARLA MARIA BOSSANO MD

07/01/2013

04/28/2014

07/31/2017

OAK LAWN

IL

60653

COOK

PRACTITIONER

II III IV V

N

11/01/2017