LEO R BOLER JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

LEO R

Last Name

BOLER JR

Suffix

Business Name

LEO R BOLER JR MD

Original Issue Date

07/19/1990

Effective Date

07/19/1990

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60605

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020