FLETCHER M BOULWARE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128114

License Status

NOT RENEWED

Business

Title

First Name

FLETCHER

Middle

Last Name

BOULWARE

Business Name

FLETCHER M BOULWARE MD

Original Issue Date

06/21/2011

Effective Date

06/21/2011

Expiration Date

07/31/2014

City

AUBURN

State

Zip

36830

County

ALABAMA

Ever Disciplined

LastModifiedDate

11/17/2014