THOMAS JOSEPH BOLLAERT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069405

License Status

EXPIRED

Business

Title

First Name

THOMAS

Middle

JOSEPH

Last Name

BOLLAERT

Business Name

THOMAS JOSEPH BOLLAERT MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/02/2019