JULES LEONARD DIENSTAG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047557

License Status

INACTIVE

Business

First Name

JULES LEONARD

Last Name

DIENSTAG

Suffix

Business Name

JULES LEONARD DIENSTAG MD

Original Issue Date

07/20/1973

Effective Date

07/20/1973

Expiration Date

07/31/1984

City

WAYLAND

State

Zip

01778

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006