JAMES THOMAS BOLAN JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

Title

First Name

JAMES

Middle

THOMAS

Last Name

BOLAN

Suffix

Business Name

JAMES THOMAS BOLAN JR MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

HINSDALE

State

Zip

60521

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008