DAVID CHARLES BOARDMAN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040264

License Status

EXPIRED

Business

First Name

DAVID

Middle

CHARLES

Last Name

BOARDMAN

Suffix

Business Name

DAVID CHARLES BOARDMAN DO

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2002

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006