BHASKAR D BOSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

BHASKAR

Middle

Last Name

BOSE

Suffix

Business Name

BHASKAR D BOSE MD

Original Issue Date

05/18/2004

Effective Date

05/18/2004

Expiration Date

07/31/2008

City

DU QUOIN

State

Zip

62832

County

PERRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008