MAX ALFRED BOLLER MD - Medical Doctor License in Michigan | # 036039028

MAX ALFRED BOLLER MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039028

License Status

NOT RENEWED

Business

N

First Name

MAX ALFRED

Last Name

BOLLER

Suffix

MD

Business Name

MAX ALFRED BOLLER MD

Original Issue Date

05/21/1964

Effective Date

05/21/1964

State

MI

Ever Disciplined

N

LastModifiedDate

09/20/2006