GEORGIANA MARY JAGIELLO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037605

License Status

INACTIVE

Business

First Name

GEORGIANA MARY

Last Name

JAGIELLO

Suffix

Business Name

GEORGIANA MARY JAGIELLO MD

Original Issue Date

12/06/1961

Effective Date

12/06/1961

Expiration Date

07/31/1990

City

N.Y.C.

State

Zip

10032

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006