CRYSTAL ANNE BROUSSARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155866

License Status

ACTIVE

Business

Title

First Name

CRYSTAL

Middle

ANNE

Last Name

BROUSSARD

Business Name

CRYSTAL ANNE BROUSSARD MD

Original Issue Date

03/02/2021

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

SEATTLE

State

Zip

98104

Ever Disciplined

LastModifiedDate

07/26/2023