BHUPINDER S BOLLA Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106042

License Status

INACTIVE

Business

First Name

BHUPINDER

Middle

Last Name

BOLLA

Business Name

BHUPINDER S BOLLA

Original Issue Date

12/28/2001

Effective Date

12/28/2001

Expiration Date

07/31/2005

City

WATERTOWN

State

Zip

13601

County

NEW YORK

Ever Disciplined

LastModifiedDate

12/31/2008