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 2026-05-08 06:30:31 UTC
LAST UPDATED 2026-05-08 06:30:31 UTC
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