PETER FREDERICK BOURLIER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053737

License Status

NOT RENEWED

Business

First Name

PETER FREDERICK

Last Name

BOURLIER

Suffix

Business Name

PETER FREDERICK BOURLIER MD

Original Issue Date

10/14/1976

Effective Date

07/07/2014

Expiration Date

07/31/2017

City

DINWIDDIE

State

Zip

23841

County

VIRGINIA

Ever Disciplined

LastModifiedDate

11/01/2017