BOLESLAV KOTLYAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143658

License Status

NOT RENEWED

Business

Title

First Name

BOLESLAV

Last Name

KOTLYAR

Business Name

BOLESLAV KOTLYAR MD

Original Issue Date

06/26/2017

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

STATEN ISLAND

State

Zip

10305

County

NEW YORK

Ever Disciplined

LastModifiedDate

01/14/2021