SANJAY BOSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

SANJAY

Last Name

BOSE

Suffix

Business Name

SANJAY BOSE MD

Original Issue Date

04/23/1998

Effective Date

04/23/1998

Expiration Date

07/31/1999

City

ROSICLARE

State

Zip

62982

County

HARDIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020