DONALD JACKSON BOON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039209

License Status

INACTIVE

Business

First Name

DONALD JACKSON

Last Name

BOON

Suffix

Business Name

DONALD JACKSON BOON MD

Original Issue Date

08/17/1964

Effective Date

08/17/1964

Expiration Date

07/31/1990

City

ALBUQUERQUE

State

Zip

87191

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

09/20/2006