ANDREA NICOLE WARD - Medical Doctor License in Maine | # 125049504

ANDREA NICOLE WARD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049504

License Status

EXPIRED

Business

N

First Name

ANDREA

Middle

NICOLE

Last Name

WARD

Business Name

ANDREA NICOLE WARD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

State

ME

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

07/31/2008