DAVID S MONGE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124458

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

MONGE

Business Name

DAVID S MONGE

Original Issue Date

10/05/2009

Effective Date

10/05/2009

Expiration Date

07/31/2011

City

WEYMOUTH

State

Zip

02188

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

11/14/2011