CHAD BOOMERSHINE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162137

License Status

ACTIVE

Business

Title

First Name

CHAD

Last Name

BOOMERSHINE

Business Name

CHAD BOOMERSHINE MD

Original Issue Date

08/24/2022

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

BOSTON

State

Zip

02110

Ever Disciplined

LastModifiedDate

05/17/2023