RONALD J DISTAJO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109851

License Status

NOT RENEWED

Business

First Name

RONALD

Middle

Last Name

DISTAJO

Business Name

RONALD J DISTAJO

Original Issue Date

08/04/2003

Effective Date

08/04/2003

Expiration Date

07/31/2005

City

CAMBRIDGE

State

Zip

02140

Ever Disciplined

LastModifiedDate

04/26/2012