Indiana
Professional Licensing Agency
J ANTONIO BOUFFARD
Physician
License number
01037578A
Date granted
06/29/1989
Date expires
10/31/2015
Class
Physician
Status
Active
Address
BLOOMFIELD HILLS MI 48302
indianalicensing.org
ID 6028357
LAST UPDATED 2026-04-14 23:46:28 UTC
LAST UPDATED 2026-04-14 23:46:28 UTC
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