MARIE NGOM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

Title

First Name

MARIE

Last Name

NGOM

Business Name

MARIE NGOM MD

Original Issue Date

08/01/2017

Effective Date

08/01/2017

Expiration Date

09/30/2020

City

LAUREL

State

Zip

20723

County

MARYLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021