ALEXANDER RICHARD GREGORY BOLTON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

Title

First Name

ALEXANDER

Middle

RICHARD GREGORY

Last Name

BOLTON

Business Name

ALEXANDER RICHARD GREGORY BOLTON DO

Original Issue Date

06/20/2023

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023