ELIZABETH LOUISE BOLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135372

License Status

NOT RENEWED

Business

Title

First Name

ELIZABETH

Middle

LOUISE

Last Name

BOLEN

Business Name

ELIZABETH LOUISE BOLEN MD

Original Issue Date

05/23/2014

Effective Date

05/08/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021