JAROL LEE BOAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

JAROL

Middle

LEE

Last Name

BOAN

Suffix

Business Name

JAROL LEE BOAN MD

Original Issue Date

12/18/1985

Effective Date

12/18/1985

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006