SUCHARITHA BOSE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006329

License Status

NOT RENEWED

Business

First Name

SUCHARITHA

Last Name

BOSE

Business Name

SUCHARITHA BOSE

Original Issue Date

08/24/2017

Effective Date

02/23/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025