LEO R BOLER JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

First Name

LEO R

Last Name

BOLER JR

Suffix

Business Name

LEO R BOLER JR MD

Original Issue Date

10/10/1983

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023