MICHELLE KATHERINE MARTINCHEK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061444

License Status

CANCELLED

Business

Title

First Name

MICHELLE

Middle

KATHERINE

Last Name

MARTINCHEK

Business Name

MICHELLE KATHERINE MARTINCHEK MD

Original Issue Date

06/24/2012

Effective Date

06/24/2012

Expiration Date

06/23/2015

City

CAMBRIDGE

State

Zip

02140

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014