MARY WYLIE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057222

License Status

NOT RENEWED

Business

First Name

MARY

Last Name

WYLIE

Suffix

Business Name

MARY WYLIE MD

Original Issue Date

07/24/1978

Effective Date

07/24/1978

Expiration Date

07/31/1987

City

LEXINGTON

State

Zip

02173

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006