MICHAEL ANTHONY BOFFA MD - Medical Doctor License in New York | # 036144189

MICHAEL ANTHONY BOFFA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144189

License Status

NOT RENEWED

Business

N

Title

MD

First Name

MICHAEL

Middle

ANTHONY

Last Name

BOFFA

Business Name

MICHAEL ANTHONY BOFFA MD

Original Issue Date

08/24/2017

Effective Date

08/24/2017

Expiration Date

09/30/2020

State

NY

Ever Disciplined

N

LastModifiedDate

01/14/2021