STEPHANIE ANNE LICHTOR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141256

License Status

INACTIVE

Business

Title

First Name

STEPHANIE

Middle

ANNE

Last Name

LICHTOR

Business Name

STEPHANIE ANNE LICHTOR MD

Original Issue Date

07/18/2016

Effective Date

04/20/2020

Expiration Date

07/31/2023

City

BOSTON

State

Zip

02115

Ever Disciplined

LastModifiedDate

07/08/2023