NATHAN RUHL BOLDEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055239

License Status

CANCELLED

Business

Title

First Name

NATHAN

Middle

RUHL

Last Name

BOLDEN

Business Name

NATHAN RUHL BOLDEN MD

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2011

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

06/17/2008