PETER ALBERTUS BOELENS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036973

License Status

INACTIVE

Business

First Name

PETER ALBERTUS

Last Name

BOELENS

Suffix

Business Name

PETER ALBERTUS BOELENS MD

Original Issue Date

12/01/1960

Effective Date

12/01/1960

Expiration Date

07/31/2002

City

VICKSBURG

State

Zip

39180

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

10/09/2006