License holder summary

LEROY EDGAR BOSTIAN JR is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for LEROY EDGAR BOSTIAN JR is Villanova PA 19085. This medical practitioner license is not current. The license was granted 08/13/1969 and expired on 12/31/2004.

Department of State

Board of Medicine

LEROY EDGAR BOSTIAN JR
Medical Physician And Surgeon
License number
MD011282E
Date granted
08/13/1969
Date expires
12/31/2004
Class
Medical Physician And Surgeon
Status
Deceased
Address
Villanova PA 19085
medicinepa.com
ID 37584405
LAST UPDATED 2026-03-19 21:47:34 UTC

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