RILEY SIMON BOLAND MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160238

License Status

ACTIVE

Business

Title

First Name

RILEY

Middle

SIMON

Last Name

BOLAND

Business Name

RILEY SIMON BOLAND MD

Original Issue Date

04/14/2022

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

05/17/2023