License holder summary

MARYBETH BOLANOWSKI is a Physician Assistants - Physician Assistant licensed to practice in Iowa. The address on file for MARYBETH BOLANOWSKI is 1519 DARIEN LAKE DR. DARIEN IL 60561. This licensed professional license is not current. The license was granted 07/27/1998 and expired on 09/30/2003.

Iowa

Professional Licensing Bureau

MARYBETH BOLANOWSKI
Physician Assistants - Physician Assistant
License number
001174
Date granted
07/27/1998
Date expires
09/30/2003
Class
Physician Assistants - Physician Assistant
Status
Inactive
Address
1519 DARIEN LAKE DR. DARIEN IL 60561
iowalicenses.org
ID 24189709
LAST UPDATED 2026-04-19 10:23:09 UTC

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