ALYSSA JOY BOLDUAN MD - Medical Doctor License in Tennessee | # 125067626

ALYSSA JOY BOLDUAN MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067626

License Status

EXPIRED

Business

N

Title

MD

First Name

ALYSSA

Middle

JOY

Last Name

BOLDUAN

Business Name

ALYSSA JOY BOLDUAN MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2020

State

TN

Specialty/Qualifier

Otolaryngology

Ever Disciplined

N

LastModifiedDate

11/19/2020