JOHN R BOLDEN JR Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

First Name

JOHN

Middle

Last Name

BOLDEN JR

Business Name

JOHN R BOLDEN JR

Original Issue Date

10/24/2002

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

MORRIS

State

Zip

60450

County

GRUNDY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023