License holder summary

SOUTHWICK JOHN BOULTON is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for SOUTHWICK JOHN BOULTON is CHAMPLAIN NY. This doctor license is current. The license was granted 07/22/1963 and expired on 06/30/2016.

New York

Office of the Professions

SOUTHWICK JOHN BOULTON
Medicine (Physician, Including M Ds & D Os)
License number
090819
Date granted
07/22/1963
Date expires
06/30/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
CHAMPLAIN NY
nymedicine.org
ID 30285455
LAST UPDATED 2026-06-09 14:14:00 UTC

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