PATRICK MCCLURE BOLT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042494

License Status

CANCELLED

Business

First Name

PATRICK

Middle

MCCLURE

Last Name

BOLT

Suffix

Business Name

PATRICK MCCLURE BOLT MD

Original Issue Date

06/24/2001

Effective Date

06/24/2001

Expiration Date

06/23/2006

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006