AMY R EVENSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117881

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

EVENSON

Suffix

Business Name

AMY R EVENSON MD

Original Issue Date

03/22/2007

Effective Date

07/29/2011

Expiration Date

07/31/2014

City

BOSTON

State

Zip

02215

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

11/17/2014