DANIEL JOHN BOLSTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

DANIEL JOHN

Last Name

BOLSTER

Suffix

Business Name

DANIEL JOHN BOLSTER MD

Original Issue Date

07/19/1990

Effective Date

07/19/1990

Expiration Date

07/31/1993

City

SPARTA

State

Zip

62286

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020