DEBRA LYNN FERTIG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101435

License Status

NOT RENEWED

Business

First Name

DEBRA

Middle

LYNN

Last Name

FERTIG

Suffix

Business Name

DEBRA LYNN FERTIG MD

Original Issue Date

10/07/1999

Effective Date

10/07/1999

Expiration Date

07/31/2002

City

BROOKLINE

State

Zip

02446

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

10/09/2006