JAY DENTON AMBROSINI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051396

License Status

INACTIVE

Business

First Name

JAY DENTON

Last Name

AMBROSINI

Suffix

Business Name

JAY DENTON AMBROSINI MD

Original Issue Date

08/15/1975

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

04/17/2008