RUDOLPH H DE JONG MD - Medical Doctor License in Massachusetts | # 33*****76

RUDOLPH H DE JONG MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

N

First Name

RUDOLPH H

Last Name

DE JONG

Suffix

MD

Business Name

RUDOLPH H DE JONG MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

State

MA

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

09/26/2006