MICHAEL ANTHONY BOFFA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144189

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

ANTHONY

Last Name

BOFFA

Business Name

MICHAEL ANTHONY BOFFA MD

Original Issue Date

08/24/2017

Effective Date

08/24/2017

Expiration Date

09/30/2020

City

NEW YORK

State

Zip

10016

County

NEW YORK

Ever Disciplined

LastModifiedDate

01/14/2021