HAROLD J P VAN BOSSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

HAROLD J P

Last Name

VAN BOSSE

Suffix

Business Name

HAROLD J P VAN BOSSE MD

Original Issue Date

02/01/1993

Effective Date

02/01/1993

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006