CHARLES CHANGMIN BOU MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055296

License Status

INACTIVE

Business

First Name

CHARLES CHANGMIN

Last Name

BOU

Suffix

Business Name

CHARLES CHANGMIN BOU MD

Original Issue Date

08/11/1977

Effective Date

08/11/1977

Expiration Date

07/31/1987

City

GOSHEN

State

Zip

10924

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006