MAXIMINA JOSEPHINE AGAGON BOUTSELIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139315

License Status

ACTIVE

Business

Title

First Name

MAXIMINA

Middle

JOSEPHINE AGAGON

Last Name

BOUTSELIS

Business Name

MAXIMINA JOSEPHINE AGAGON BOUTSELIS MD

Original Issue Date

10/30/2015

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

NEWBURYPORT

State

Zip

01950

Ever Disciplined

LastModifiedDate

06/27/2023