DAVE EARL BOLGER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

Title

First Name

DAVE

Middle

EARL

Last Name

BOLGER

Business Name

DAVE EARL BOLGER DO

Original Issue Date

07/02/2014

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2023