LUIS A BOLANOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

ACTIVE

Business

First Name

LUIS A

Last Name

BOLANOS

Suffix

Business Name

LUIS A BOLANOS MD

Original Issue Date

03/23/1995

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60504

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023