DAVID CHARLES BOARDMAN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106525

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

CHARLES

Last Name

BOARDMAN

Suffix

Business Name

DAVID CHARLES BOARDMAN DO

Original Issue Date

03/18/2002

Effective Date

03/18/2002

Expiration Date

07/31/2002

City

JACKSON

State

Zip

63755

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/06/2016