ANDREW S BOSTAPH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120413

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

BOSTAPH

Business Name

ANDREW S BOSTAPH

Original Issue Date

04/02/2008

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

DALLAS

State

Zip

75240

County

TEXAS

Ever Disciplined

LastModifiedDate

01/14/2021