ALYSSA JOY BOLDUAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067626

License Status

EXPIRED

Business

Title

First Name

ALYSSA

Middle

JOY

Last Name

BOLDUAN

Business Name

ALYSSA JOY BOLDUAN MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2020

City

NASHVILLE

State

Zip

37203

County

TENNESSEE

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

11/19/2020