THEODORE P BOSI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

Title

First Name

THEODORE

Middle

Last Name

BOSI

Business Name

THEODORE P BOSI MD

Original Issue Date

07/07/2023

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023