ALEXANDER RICHARD GREGORY BOLTON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163598

License Status

ACTIVE

Business

Title

First Name

ALEXANDER

Middle

RICHARD GREGORY

Last Name

BOLTON

Business Name

ALEXANDER RICHARD GREGORY BOLTON DO

Original Issue Date

02/07/2023

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/15/2023