MARIKO WONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129630

License Status

NOT RENEWED

Business

Title

First Name

MARIKO

Last Name

WONG

Business Name

MARIKO WONG MD

Original Issue Date

02/16/2012

Effective Date

07/02/2014

Expiration Date

07/31/2017

City

AUBURNDALE

State

Zip

02466

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

11/01/2017