JACQUELINE L AMBROSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065110

License Status

NOT RENEWED

Business

First Name

JACQUELINE L

Last Name

AMBROSE

Suffix

Business Name

JACQUELINE L AMBROSE MD

Original Issue Date

08/13/1982

Effective Date

06/01/2017

Expiration Date

09/30/2020

City

WAYNESVILLE

State

Zip

28786

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

01/14/2021