MARK A BOLES MD - Medical Doctor License in Illinois | # 125021085

MARK A BOLES MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021085

License Status

EXPIRED

Business

N

First Name

MARK A

Last Name

BOLES

Suffix

MD

Business Name

MARK A BOLES MD

Original Issue Date

06/02/1987

Effective Date

06/02/1987

Expiration Date

07/01/1990

State

IL

Specialty/Qualifier

Nuclear Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006