ANDREW BURTON BOLDREY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000175

License Status

EXPIRED

Business

First Name

ANDREW

Middle

BURTON

Last Name

BOLDREY

Suffix

Business Name

ANDREW BURTON BOLDREY MD

Original Issue Date

10/01/2002

Effective Date

10/01/2002

Expiration Date

03/31/2005

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/25/2006