NICOLE KRISTINE BOERBOOM DC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038011011

License Status

INACTIVE

Business

First Name

NICOLE

Middle

KRISTINE

Last Name

BOERBOOM

Suffix

Business Name

NICOLE KRISTINE BOERBOOM DC

Original Issue Date

08/28/2007

Effective Date

07/08/2008

Expiration Date

07/31/2011

City

CHANDLER

State

Zip

85249

County

ARIZONA

Ever Disciplined

LastModifiedDate

04/07/2011