DAVID L BOLSHOUN MD - Medical Doctor License in Missouri | # 036102800

DAVID L BOLSHOUN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102800

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

L

Last Name

BOLSHOUN

Suffix

MD

Business Name

DAVID L BOLSHOUN MD

Original Issue Date

06/22/2000

Effective Date

06/22/2000

Expiration Date

07/31/2002

State

MO

Ever Disciplined

N

LastModifiedDate

10/09/2006