JOANMARIE DIETZ PELLEGRINI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138577

License Status

INACTIVE

Business

Title

First Name

JOANMARIE

Middle

DIETZ

Last Name

PELLEGRINI

Business Name

JOANMARIE DIETZ PELLEGRINI MD

Original Issue Date

07/07/2015

Effective Date

07/07/2015

Expiration Date

07/31/2017

City

HOLDEN

State

Zip

04429

County

MAINE

Ever Disciplined

LastModifiedDate

07/06/2017