MATTHEW S BOSNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

BOSNER

Suffix

Business Name

MATTHEW S BOSNER MD

Original Issue Date

12/08/1998

Effective Date

12/08/1998

Expiration Date

07/31/2005

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020