LAWRENCE NEIL TANENBAUM MD - Medical Doctor License in New Jersey | # 036123812

LAWRENCE NEIL TANENBAUM MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123812

License Status

INACTIVE

Business

N

First Name

LAWRENCE

Middle

NEIL

Last Name

TANENBAUM

Suffix

MD

Business Name

LAWRENCE NEIL TANENBAUM MD

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

07/31/2011

State

NJ

Ever Disciplined

N

LastModifiedDate

04/07/2011