JOSE THOMAS BOLANOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

First Name

JOSE

Middle

THOMAS

Last Name

BOLANOS

Suffix

Business Name

JOSE THOMAS BOLANOS MD

Original Issue Date

05/08/1998

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023