PETER PALLISER BOSOMWORTH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036579

License Status

INACTIVE

Business

First Name

PETER PALLISER

Last Name

BOSOMWORTH

Suffix

Business Name

PETER PALLISER BOSOMWORTH MD

Original Issue Date

06/09/1960

Effective Date

06/09/1960

Expiration Date

07/31/1993

City

LEXINGTON

State

Zip

40536

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/20/2006