LOUIS JAMES BOELEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

LOUIS JAMES

Last Name

BOELEN

Suffix

Business Name

LOUIS JAMES BOELEN MD

Original Issue Date

01/01/1997

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014