RAPHAEL NEIL BOLLAG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036173559

License Status

ACTIVE

Business

Title

First Name

RAPHAEL

Middle

NEIL

Last Name

BOLLAG

Business Name

RAPHAEL NEIL BOLLAG MD

Original Issue Date

01/30/2025

Effective Date

01/30/2025

Expiration Date

07/31/2026

City

VALLEY STREAM

State

Zip

11581

Ever Disciplined

LastModifiedDate

01/31/2025