Adam Labrae Bourgon
Medical Board - 58.Do Training Certificate
Ohio 58.004503 Failed to Renew
This Ohio license was held by Adam Labrae Bourgon. The license is no longer active. It was granted on 09/12/2012 and expired on 06/23/2014
LICENSE DETAILS
- License Number: 58.004503
- Category: 58.DO Training Certificate
- Status: Failed to Renew
- Date Granted: 09/12/2012 (over 12 years ago)
- Expiry Date: 06/23/2014 (almost 11 years ago)
LOCATIONS
A Practice Address
Wright State University, c/o General Surgery Dept, 1 Wyoming Street CHE 7th Floor, Dayton, OH 45409