CHARLES GILLESPIE BOLAND MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065680

License Status

EXPIRED

Business

Title

First Name

CHARLES

Middle

GILLESPIE

Last Name

BOLAND

Business Name

CHARLES GILLESPIE BOLAND MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/25/2018