SUSAN BEAUSOLEIL BOGRAD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077399

License Status

INACTIVE

Business

First Name

SUSAN BEAUSOLEIL

Last Name

BOGRAD

Business Name

SUSAN BEAUSOLEIL BOGRAD

Original Issue Date

07/20/1988

Effective Date

07/20/1988

Expiration Date

07/31/1990

City

PHILADELPHIA

State

Zip

19106

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

06/15/2018