TIMOTHY JAMES BOLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

Title

First Name

TIMOTHY

Middle

JAMES

Last Name

BOLEY

Business Name

TIMOTHY JAMES BOLEY MD

Original Issue Date

03/14/2014

Effective Date

03/14/2014

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017