J ANTONIO BOUFFARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067070

License Status

NOT RENEWED

Business

First Name

J ANTONIO

Last Name

BOUFFARD

Suffix

Business Name

J ANTONIO BOUFFARD MD

Original Issue Date

07/21/1983

Effective Date

07/29/2014

Expiration Date

07/31/2017

City

BLOOMFIELD HILLS

State

Zip

48302

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/01/2017