CHARLES K BOLEY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115574

License Status

ACTIVE

Business

First Name

CHARLES

Middle

Last Name

BOLEY

Business Name

CHARLES K BOLEY

Original Issue Date

03/30/2006

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

WASHINTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/10/2023