MARYBETH BOLANOWSKI
Physician Assistant Controlled Substance(Delegated Schedules Ii Iii Iin Iiin Iv V )
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 03/01/2018
LICENSE DETAILS
- License Number: 385000259
- Category: PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE(Delegated Schedules II III IIN IIIN IV V )
- Status: Active
- Date Granted: 03/13/2001 (over 23 years ago)
- Expiry Date: 03/01/2018 (over 6 years ago)
LOCATIONS
A Address
Downers Grove, IL 60515-2268
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