JENNIFER MARIE FELLOWES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157563

License Status

NOT RENEWED

Business

Title

First Name

JENNIFER

Middle

MARIE

Last Name

FELLOWES

Business Name

JENNIFER MARIE FELLOWES MD

Original Issue Date

06/30/2021

Effective Date

06/30/2021

Expiration Date

07/31/2023

City

NEW YORK

State

Zip

10010

Ever Disciplined

LastModifiedDate

11/30/2023