JESSICA LAUREN MARTINOLICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149520

License Status

NOT RENEWED

Business

Title

First Name

JESSICA

Middle

LAUREN

Last Name

MARTINOLICH

Business Name

JESSICA LAUREN MARTINOLICH MD

Original Issue Date

06/03/2019

Effective Date

06/03/2019

Expiration Date

09/30/2020

City

ALBANY

State

Zip

12208

Ever Disciplined

LastModifiedDate

01/14/2021