MATTHEW S BOSNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

BOSNER

Suffix

Business Name

MATTHEW S BOSNER MD

Original Issue Date

05/20/1992

Effective Date

05/20/1992

Expiration Date

07/31/1996

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020