NICOLE A BOLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

BOLER

Suffix

Business Name

NICOLE A BOLER MD

Original Issue Date

07/20/2007

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60609

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

06/27/2023