STEPHEN BOSSENBERRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088151

License Status

NOT RENEWED

Business

First Name

STEPHEN

Last Name

BOSSENBERRY

Suffix

Business Name

STEPHEN BOSSENBERRY MD

Original Issue Date

03/22/1994

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

VICKSBURG

State

Zip

39183

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

11/05/2013

Case Number

2013007679

Action

Refuse To Renew

Discipline Start Date

10/28/2013

Discipline Reason

after being disciplined by the state of Michigan.