License Search: Details

Name	Title	Primary Practice Location	Licensed Or Has Been Licensed In
Timothy Allen Bolyard	PA		No other states on file

License Type	License Number	Status	License Date	Expiration Date
PPA	284	Revoked by Board	07/14/1986	02/18/2009

School	Date Completed	Nature of Training
Alderson Broaddus College	05/11/1986	Physician Assistant School

Discipline/Board Action	Type of Action	Action Date	Public Documents
Yes	Revocation of License	02/18/2009	Final Order

No Malpractice Cases On Record

Collaborating Physician	Authorized to Practice	Authorized to Prescribe	Primary Work Location	Designated Alternate Supervisor(s)

This data was retrieved on 4/20/2026.

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