KEVIN P BOLAND DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126301

License Status

NOT RENEWED

Business

Title

First Name

KEVIN

Middle

Last Name

BOLAND

Business Name

KEVIN P BOLAND DO

Original Issue Date

07/21/2010

Effective Date

05/13/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

11/17/2014