DOUGLAS A BOLTON Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005517

License Status

ACTIVE

Business

First Name

DOUGLAS A

Last Name

BOLTON

Business Name

DOUGLAS A BOLTON

Original Issue Date

12/11/1997

Effective Date

07/13/2024

Expiration Date

09/30/2026

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

07/13/2024