DANIEL JOHN BOLSTER MD - Medical Doctor License in Illinois | # 125018861

DANIEL JOHN BOLSTER MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018861

License Status

EXPIRED

Business

N

First Name

DANIEL JOHN

Last Name

BOLSTER

Suffix

MD

Business Name

DANIEL JOHN BOLSTER MD

Original Issue Date

07/09/1985

Effective Date

07/09/1985

Expiration Date

07/01/1988

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006