ROBERT F BOLL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021378

License Status

EXPIRED

Business

First Name

ROBERT F

Last Name

BOLL

Suffix

Business Name

ROBERT F BOLL DO

Original Issue Date

06/18/1987

Effective Date

06/18/1987

Expiration Date

06/22/1990

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006