FOUAD BOULOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162656

License Status

ACTIVE

Business

Title

First Name

FOUAD

Last Name

BOULOS

Business Name

FOUAD BOULOS MD

Original Issue Date

10/18/2022

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

CLAYTON

State

Zip

63105

Ever Disciplined

LastModifiedDate

04/27/2023