BRIAN ROBERT BOULAY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125568

License Status

ACTIVE

Business

First Name

BRIAN

Middle

ROBERT

Last Name

BOULAY

Suffix

Business Name

BRIAN ROBERT BOULAY MD

Original Issue Date

04/26/2010

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2023