H CULVER BOLDT - Medical Doctor License in Illinois | # 125016702

H CULVER BOLDT

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016702

License Status

EXPIRED

Business

N

First Name

H CULVER

Last Name

BOLDT

Business Name

H CULVER BOLDT

Original Issue Date

06/01/1984

Effective Date

06/01/1984

Expiration Date

06/25/1986

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006