SUSAN BEAUSOLEIL BOGRAD - Medical Doctor License in Pennsylvania | # 036077399

SUSAN BEAUSOLEIL BOGRAD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077399

License Status

INACTIVE

Business

N

First Name

SUSAN BEAUSOLEIL

Last Name

BOGRAD

Business Name

SUSAN BEAUSOLEIL BOGRAD

Original Issue Date

07/20/1988

Effective Date

07/20/1988

Expiration Date

07/31/1990

State

PA

Ever Disciplined

N

LastModifiedDate

06/15/2018