LESLIE JACOB DEGROOT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042166

License Status

NOT RENEWED

Business

First Name

LESLIE JACOB

Last Name

DEGROOT

Suffix

Business Name

LESLIE JACOB DEGROOT MD

Original Issue Date

10/23/1968

Effective Date

04/14/2011

Expiration Date

07/31/2014

City

SOUTH DARTMOUTH

State

Zip

02748

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

11/17/2014