MARY MEGAN EMBRESCIA MD - Medical Doctor License in New Jersey | # 33*****02

MARY MEGAN EMBRESCIA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

N

Title

MD

First Name

MARY

Middle

MEGAN

Last Name

EMBRESCIA

Business Name

MARY MEGAN EMBRESCIA MD

Original Issue Date

10/08/2015

Effective Date

10/08/2015

Expiration Date

07/31/2017

State

NJ

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

11/01/2017