MICHAELINA ROSE BOLTON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

MICHAELINA

Middle

ROSE

Last Name

BOLTON

Business Name

MICHAELINA ROSE BOLTON

Original Issue Date

03/16/2011

Effective Date

04/14/2014

Expiration Date

07/31/2017

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017