DONALD J BOLES JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

Last Name

BOLES

Suffix

JR MD

Business Name

DONALD J BOLES JR MD

Original Issue Date

12/04/1985

Effective Date

12/04/1985

Expiration Date

07/31/1990

City

OAK PARK

State

Zip

60304

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006