CARRIE L BOLANDER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000273

License Status

EXPIRED

Business

First Name

CARRIE

Middle

Last Name

BOLANDER

Business Name

CARRIE L BOLANDER

Original Issue Date

03/28/1995

Effective Date

03/28/1995

Expiration Date

07/21/1995

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/25/2006