JOHN J BOLLIG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

BOLLIG

Suffix

Business Name

JOHN J BOLLIG MD

Original Issue Date

07/10/2000

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017