BRIAN C BOSWELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

BRIAN C

Last Name

BOSWELL

Suffix

Business Name

BRIAN C BOSWELL MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006