EDMUND C BOLTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

EDMUND C

Last Name

BOLTON

Suffix

Business Name

EDMUND C BOLTON MD

Original Issue Date

01/01/1997

Effective Date

08/11/2020

Expiration Date

07/31/2023

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/30/2023