Delaware
Division of Professional Regulation
Imhotep Boukman
Controlled Substances - Physician Csr
License number
DR-0008382
Date granted
10/03/2011
Date expires
06/30/2013
Class
Controlled Substances - Physician Csr
Status
Lapsed
Address
Brookhaven PA 19015
delawarelicensing.com
ID 20536753
LAST UPDATED 2026-05-28 06:08:33 UTC
LAST UPDATED 2026-05-28 06:08:33 UTC
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