RONALD J DISTAJO - Medical Doctor License in Massachusetts | # 036109851

RONALD J DISTAJO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109851

License Status

NOT RENEWED

Business

N

First Name

RONALD

Middle

J

Last Name

DISTAJO

Business Name

RONALD J DISTAJO

Original Issue Date

08/04/2003

Effective Date

08/04/2003

Expiration Date

07/31/2005

State

MA

Ever Disciplined

N

LastModifiedDate

04/26/2012