GREGG S BOLOTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084509

License Status

NOT RENEWED

Business

First Name

GREGG S

Last Name

BOLOTIN

Suffix

Business Name

GREGG S BOLOTIN MD

Original Issue Date

06/10/1992

Effective Date

06/10/1992

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006