MELISSA ANN BOLING DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061095

License Status

CANCELLED

Business

Title

First Name

MELISSA

Middle

ANN

Last Name

BOLING

Business Name

MELISSA ANN BOLING DO

Original Issue Date

06/28/2012

Effective Date

06/28/2012

Expiration Date

06/27/2015

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014