DEBRA L MONTICCIOLO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070738

License Status

INACTIVE

Business

First Name

DEBRA L

Last Name

MONTICCIOLO

Suffix

Business Name

DEBRA L MONTICCIOLO MD

Original Issue Date

06/03/1985

Effective Date

06/03/1985

Expiration Date

07/31/1993

City

BOSTON

State

Zip

02114

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

06/03/2024