IRA DE MD - Medical Doctor License in New Jersey | # 036079297

IRA DE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079297

License Status

NOT RENEWED

Business

N

First Name

IRA

Last Name

DE

Suffix

MD

Business Name

IRA DE MD

Original Issue Date

08/08/1989

Effective Date

08/08/1989

Expiration Date

07/31/1996

State

NJ

Ever Disciplined

N

LastModifiedDate

09/20/2006