BEDFORD FORREST BOYLSTON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083744

License Status

INACTIVE

Business

First Name

BEDFORD FORREST

Last Name

BOYLSTON

Suffix

Business Name

BEDFORD FORREST BOYLSTON MD

Original Issue Date

11/16/1991

Effective Date

11/16/1991

Expiration Date

07/31/1993

City

HARRISBURG

State

Zip

17112

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

03/05/2008