License holder summary

Douglas Paul Bosack is a Physician licensed to practice in Indiana. The address on file for Douglas Paul Bosack is Lewisburg WV 24901. This licensed professional license is not current. The license was granted 07/26/2004 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Douglas Paul Bosack
Physician
License number
01059562A
Date granted
07/26/2004
Date expires
06/30/2005
Class
Physician
Status
Suspended
Address
Lewisburg WV 24901
indianalicensing.org
ID 6071399
LAST UPDATED 2024-04-04 18:28:39 UTC

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