BHUPINDER S BOLLA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036347

License Status

EXPIRED

Business

First Name

BHUPINDER

Middle

Last Name

BOLLA

Business Name

BHUPINDER S BOLLA

Original Issue Date

07/01/1997

Effective Date

07/01/1997

Expiration Date

06/30/2002

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pain Management

Ever Disciplined

LastModifiedDate

09/22/2006