JOHN STEPHEN BOMALASKI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059083

License Status

INACTIVE

Business

First Name

JOHN STEPHEN

Last Name

BOMALASKI

Suffix

Business Name

JOHN STEPHEN BOMALASKI MD

Original Issue Date

08/20/1979

Effective Date

08/20/1979

Expiration Date

07/31/1987

City

STRAFFORD

State

Zip

19087

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/20/2006