CHRISTOPHER G BOULLION
Osteopathic Medicine at Hudson Ave, Royal Oak, MI

License number
Florida 2052
Issued Date
Mar 23, 2009
Effective Date
Aug 3, 2016
Expiration Date
Jul 1, 2011
Category
Health Care
Type
Osteopathic Resident Registration
Address
Address 2
1812 E Hudson Ave, Royal Oak, MI 48067
1611 NW 12Th Ave, Miami, FL 33136
Phone
(630) 452-3183
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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CHRISTOPHER G. BOULLION, C.O., PC

Royal Oak, MI

Status:
Inactive
Registration:
Aug 28, 2007
Addresses:
1812 E Hudson Ave, Royal Oak, MI 48067 (Physical)
Michigan (Mailing)
State ID:
00988H
Business type:
Domestic Profit Corporation
Expiration:
7-15-2010
Agent:
Christopher G Boullion

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