MARYBETH BOLANOWSKI
Physician Assistant Controlled Substance
Illinois 385000259 Active
This Illinois license is held by MARYBETH BOLANOWSKI. The license is currently active. It was granted on 03/13/2001 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 385000259
- Category: PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE
- Status: Active
- Date Granted: 03/13/2001 (about 23 years ago)
- Expiry Date: 03/01/2016 (over 8 years ago)
LOCATIONS
A Address
DOWNERS GROVE, IL 60515
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