License Directory

Bryan Edward Bolen

Active

Michigan license 5101026250

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
5101026250
Status
Active
First issued
April 30, 2021
Expires
April 30, 2027
License holder
Bryan Edward Bolen
Entity type
Individual

Classifications

Contact

Michigan State University and Affiliated Hospitals
965 Wilson Rd. Room A233 East Fee
East Lansing, MI 48824
Ingham County