JOAN D BOOMSMA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069759

License Status

INACTIVE

Business

First Name

JOAN D

Last Name

BOOMSMA

Suffix

Business Name

JOAN D BOOMSMA MD

Original Issue Date

10/31/1984

Effective Date

06/27/2017

Expiration Date

09/30/2020

City

PORTLAND

State

Zip

04101

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

04/05/2020