DAVID WARREN BOLDT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053307

License Status

EXPIRED

Business

First Name

DAVID

Middle

WARREN

Last Name

BOLDT

Suffix

Business Name

DAVID WARREN BOLDT MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

07/08/2010