JOHN R BOLDEN JR Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106844

License Status

ACTIVE

Business

First Name

JOHN

Middle

Last Name

BOLDEN JR

Business Name

JOHN R BOLDEN JR

Original Issue Date

04/25/2002

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

06/17/2023