JOSE M BOLANOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040626

License Status

NOT RENEWED

Business

First Name

JOSE M

Last Name

BOLANOS

Suffix

Business Name

JOSE M BOLANOS MD

Original Issue Date

08/31/1966

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021