STEVEN MARK BARDOLPH MD - Medical Doctor License in New York | # 036044730

STEVEN MARK BARDOLPH MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044730

License Status

NOT RENEWED

Business

N

First Name

STEVEN MARK

Last Name

BARDOLPH

Suffix

MD

Business Name

STEVEN MARK BARDOLPH MD

Original Issue Date

09/16/1971

Effective Date

09/16/1971

State

NY

Ever Disciplined

N

LastModifiedDate

09/20/2006