JENNIFER ANN MACCAGNANO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144415

License Status

ACTIVE

Business

Title

First Name

JENNIFER

Middle

ANN

Last Name

MACCAGNANO

Business Name

JENNIFER ANN MACCAGNANO DO

Original Issue Date

09/28/2017

Effective Date

08/30/2023

Expiration Date

07/31/2026

City

BROOKLYN

State

Zip

11219

Ever Disciplined

LastModifiedDate

08/30/2023