License holder summary

MICHAEL M BOUSTANY is a Temporary Medical Doctor License licensed to practice in Pennsylvania. The address on file for MICHAEL M BOUSTANY is Harrisburg PA 17104. This licensed professional license is not current. The license was granted 11/07/2006 and expired on 11/16/2006.

Pennsylvania

Department of State

MICHAEL M BOUSTANY
Temporary Medical Doctor License
License number
TMD002269
Date granted
11/07/2006
Date expires
11/16/2006
Class
Temporary Medical Doctor License
Status
Expired
Address
Harrisburg PA 17104
palicensing.org
ID 16650807
LAST UPDATED 2024-04-09 18:08:28 UTC

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