J ANTONIO BOUFFARD MD - Medical Doctor License in Michigan | # 036067070

J ANTONIO BOUFFARD MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067070

License Status

NOT RENEWED

Business

N

First Name

J ANTONIO

Last Name

BOUFFARD

Suffix

MD

Business Name

J ANTONIO BOUFFARD MD

Original Issue Date

07/21/1983

Effective Date

07/29/2014

Expiration Date

07/31/2017

State

MI

Ever Disciplined

N

LastModifiedDate

11/01/2017