License holder summary

JOHANE GILDADE BOURSIQUOT is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for JOHANE GILDADE BOURSIQUOT is Greenwich CT 06830. This medical practitioner license is not current. The license was granted 06/12/2013 and expired on 06/23/2014.

Department of State

Board of Medicine

JOHANE GILDADE BOURSIQUOT
Graduate Medical Trainee
License number
MT205076
Date granted
06/12/2013
Date expires
06/23/2014
Class
Graduate Medical Trainee
Status
Expired
Address
Greenwich CT 06830
medicinepa.com
ID 37521672
LAST UPDATED 2024-03-30 23:38:12 UTC

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