DANIEL JOHN BOLSTER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018861

License Status

EXPIRED

Business

First Name

DANIEL JOHN

Last Name

BOLSTER

Suffix

Business Name

DANIEL JOHN BOLSTER MD

Original Issue Date

07/09/1985

Effective Date

07/09/1985

Expiration Date

07/01/1988

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006