JOAN D BOOMSMA MD - Medical Doctor License in Maine | # 33*****15

JOAN D BOOMSMA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

N

First Name

JOAN D

Last Name

BOOMSMA

Suffix

MD

Business Name

JOAN D BOOMSMA MD

Original Issue Date

11/28/1984

Effective Date

06/27/2017

Expiration Date

09/30/2020

State

ME

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

01/14/2021