DOUGLAS FRANCIS BOLDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159060

License Status

NOT RENEWED

Business

Title

First Name

DOUGLAS

Middle

FRANCIS

Last Name

BOLDA

Business Name

DOUGLAS FRANCIS BOLDA MD

Original Issue Date

12/28/2021

Effective Date

12/28/2021

Expiration Date

07/31/2023

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

11/30/2023