JERRY G ROSENBLATT DO - Medical Doctor License in New York | # 036048453

JERRY G ROSENBLATT DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048453

License Status

NOT RENEWED

Business

N

First Name

JERRY

Middle

G

Last Name

ROSENBLATT

Suffix

DO

Business Name

JERRY G ROSENBLATT DO

Original Issue Date

10/06/1973

Effective Date

10/06/1973

Expiration Date

07/31/1984

State

NY

Ever Disciplined

N

LastModifiedDate

09/20/2006