MAX ALFRED BOLLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039028

License Status

NOT RENEWED

Business

First Name

MAX ALFRED

Last Name

BOLLER

Suffix

Business Name

MAX ALFRED BOLLER MD

Original Issue Date

05/21/1964

Effective Date

05/21/1964

City

MINNEAPOLIS

State

Zip

55404

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006