DOUGLAS FRANCIS BOLDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

Title

First Name

DOUGLAS

Middle

FRANCIS

Last Name

BOLDA

Business Name

DOUGLAS FRANCIS BOLDA MD

Original Issue Date

01/06/2022

Effective Date

01/06/2022

Expiration Date

07/31/2023

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023