JONATHAN E BOLLES - Physician Assistant License in Illinois | # 085003400

JONATHAN E BOLLES

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003400

License Status

NOT RENEWED

Business

N

First Name

JONATHAN

Middle

E

Last Name

BOLLES

Business Name

JONATHAN E BOLLES

Original Issue Date

12/19/2008

Effective Date

04/22/2020

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022