JACOB COLIN BOLYARD DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

Title

First Name

JACOB

Middle

COLIN

Last Name

BOLYARD

Business Name

JACOB COLIN BOLYARD DO

Original Issue Date

06/05/2025

Effective Date

06/05/2025

Expiration Date

07/31/2026

City

WINFIELD

State

Zip

60190

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/05/2025