MARY J BOYLAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

Title

First Name

MARY

Middle

Last Name

BOYLAN

Business Name

MARY J BOYLAN MD

Original Issue Date

02/06/1989

Effective Date

02/06/1989

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006