AUGUSTINE ANTHONY BOLLO
License Number: PO2570
Data As Of 6/2/2024
| Profession | Podiatric Physician |
|---|---|
| License | PO2570 |
| License Status | DELINQUENT/ |
| Qualifications | Dispensing |
| License Expiration Date | 3/31/2024 |
| License Original Issue Date | 10/22/1996 |
| Address of Record | 1331 Marble Crest Way |
| WINTER GARDEN, FL 34787 | |
| Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | Yes |
| Discipline on File | Yes |
| Public Complaint | Yes |
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