BRITTANY R. BOLT DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073341

License Status

EXPIRED

Business

Title

First Name

BRITTANY

Middle

Last Name

BOLT

Business Name

BRITTANY R. BOLT DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/20/2022

City

PEORIA

State

Zip

61605

County

MCLEAN

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

10/11/2022