JEREMY GOTTIG MAGGIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140508

License Status

NOT RENEWED

Business

Title

First Name

JEREMY

Middle

GOTTIG

Last Name

MAGGIN

Business Name

JEREMY GOTTIG MAGGIN MD

Original Issue Date

04/27/2016

Effective Date

04/27/2016

Expiration Date

07/31/2017

City

MEDFORD

State

Zip

02155

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

11/01/2017