MATTHEW EUGENE BOLAND MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

EUGENE

Last Name

BOLAND

Business Name

MATTHEW EUGENE BOLAND MD

Original Issue Date

10/29/2020

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63131

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023