JAY BOUGHANEM MD - Medical Doctor License in Massachusetts | # 036120773

JAY BOUGHANEM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120773

License Status

NOT RENEWED

Business

N

First Name

JAY

Last Name

BOUGHANEM

Suffix

MD

Business Name

JAY BOUGHANEM MD

Original Issue Date

05/02/2008

Effective Date

05/02/2008

Expiration Date

07/31/2011

State

MA

Ever Disciplined

N

LastModifiedDate

11/14/2011