CHARLES K BOLEY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

CHARLES

Middle

Last Name

BOLEY

Business Name

CHARLES K BOLEY

Original Issue Date

04/24/2006

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023