MICHAELINA ROSE BOLTON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127348

License Status

NOT RENEWED

Business

First Name

MICHAELINA

Middle

ROSE

Last Name

BOLTON

Business Name

MICHAELINA ROSE BOLTON

Original Issue Date

03/16/2011

Effective Date

04/14/2014

Expiration Date

07/31/2017

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017