REBECCA A. BOLLA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079142

License Status

ACTIVE

Business

Title

First Name

REBECCA

Middle

Last Name

BOLLA

Business Name

REBECCA A. BOLLA DO

Original Issue Date

03/06/2025

Effective Date

03/06/2025

Expiration Date

03/05/2027

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/06/2025