PETER ALBERTUS BOELENS MD - Medical Doctor License in Mississippi | # 036036973

PETER ALBERTUS BOELENS MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036973

License Status

INACTIVE

Business

N

First Name

PETER ALBERTUS

Last Name

BOELENS

Suffix

MD

Business Name

PETER ALBERTUS BOELENS MD

Original Issue Date

12/01/1960

Effective Date

12/01/1960

Expiration Date

07/31/2002

State

MS

Ever Disciplined

N

LastModifiedDate

10/09/2006