LOUIS JAMES BOELEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055086

License Status

INACTIVE

Business

First Name

LOUIS JAMES

Last Name

BOELEN

Suffix

Business Name

LOUIS JAMES BOELEN MD

Original Issue Date

07/18/1977

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

ADA

State

Zip

49301

Ever Disciplined

LastModifiedDate

06/24/2014