LUCY Y EVANGELISTA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045655

License Status

INACTIVE

Business

First Name

LUCY Y

Last Name

EVANGELISTA

Suffix

Business Name

LUCY Y EVANGELISTA MD

Original Issue Date

06/16/1972

Effective Date

06/16/1972

Expiration Date

07/31/1990

City

SALISBURY

State

Zip

21801

County

MARYLAND

Ever Disciplined

LastModifiedDate

09/20/2006