Rita Marie Boutot

Name

Rita Marie Boutot

Year of birth

1957

Source

USA - Health and Human Services List of Excluded Individuals and Entities

Aliases

Rita Marie Boutot

Privacy Request

Additional Information

General: PHYSICIAN (MD, DO)

Specialty: FAMILY PRACTICE

Medical license number: 1659365716

Address: 3741 PINE GROVE ROAD

City: BIGLERVILLE

State: PA

Zip code: 17307

Exclusion type: Felony conviction relating to controlled substance. Minimum Period: 5 years (Social Security Act: 1128(a)(4), 42 USC §: 1320a-7(a)(4))

Exclusion date: 2019-06-20


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