ELLEN J DEHM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085991

License Status

NOT RENEWED

Business

First Name

ELLEN J

Last Name

DEHM

Suffix

Business Name

ELLEN J DEHM MD

Original Issue Date

05/01/1993

Effective Date

05/01/1993

Expiration Date

07/31/1999

City

NORWOOD

State

Zip

02062

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006