ALYSSA JOY BOLDUAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

Title

First Name

ALYSSA

Middle

JOY

Last Name

BOLDUAN

Business Name

ALYSSA JOY BOLDUAN MD

Original Issue Date

05/21/2021

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

GENEVA

State

Zip

60134

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023