THOMAS JOSEPH BOLLAERT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

Title

First Name

THOMAS

Middle

JOSEPH

Last Name

BOLLAERT

Business Name

THOMAS JOSEPH BOLLAERT MD

Original Issue Date

10/22/2020

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023