JEFFREY MARC LEIDEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084572

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

MARC

Last Name

LEIDEN

Suffix

Business Name

JEFFREY MARC LEIDEN MD

Original Issue Date

06/18/1992

Effective Date

05/02/2014

Expiration Date

07/31/2017

City

BOSTON

State

Zip

02116

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

11/01/2017