EDWARD STEPHEN BOLESTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102855

License Status

ACTIVE

Business

First Name

EDWARD

Middle

STEPHEN

Last Name

BOLESTA

Suffix

Business Name

EDWARD STEPHEN BOLESTA MD

Original Issue Date

06/27/2000

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63131

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

04/06/2023