ABIGAIL BOOKER COSGROVE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

Title

First Name

ABIGAIL

Middle

BOOKER

Last Name

COSGROVE

Business Name

ABIGAIL BOOKER COSGROVE MD

Original Issue Date

05/01/2018

Effective Date

05/01/2018

Expiration Date

09/30/2020

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021