SUDIP KUMAR BOSE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

First Name

SUDIP

Middle

KUMAR

Last Name

BOSE

Suffix

Business Name

SUDIP KUMAR BOSE MD

Original Issue Date

05/11/2005

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2023