JACQUELINE LEE WOLF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053187

License Status

NOT RENEWED

Business

First Name

JACQUELINE LEE

Last Name

WOLF

Suffix

Business Name

JACQUELINE LEE WOLF MD

Original Issue Date

08/19/1976

Effective Date

08/19/1976

Expiration Date

07/01/1982

City

CAMBRIDGE

State

Zip

02140

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006