License holder summary

IMHOTEP BOUKMAN is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for IMHOTEP BOUKMAN is *NO CITY PA 00000. This licensed professional license is not current. The license was granted 11/12/1998 and expired on 11/11/2001.

Pennsylvania

Department of State

IMHOTEP BOUKMAN
Graduate Medical Trainee
License number
MT044296T
Date granted
11/12/1998
Date expires
11/11/2001
Class
Graduate Medical Trainee
Status
Inactive
Address
*NO CITY PA 00000
palicensing.org
ID 16622262
LAST UPDATED 2024-03-28 13:09:07 UTC

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