IMHOTEP BOUKMAN
Graduate Medical Trainee
Pennsylvania MT044296T Inactive
This Pennsylvania license was held by IMHOTEP BOUKMAN. The license is no longer active. It was granted on 11/12/1998 and expired on 11/11/2001
LICENSE DETAILS
- License Number: MT044296T
- Category: Graduate Medical Trainee
- Status: Inactive
- Date Granted: 11/12/1998 (over 26 years ago)
- Expiry Date: 11/11/2001 (over 23 years ago)
LOCATIONS
A Address
*NO CITY PA 00000