MARIO RAUL REALE MD - Medical Doctor License in New York | # 036051176

MARIO RAUL REALE MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051176

License Status

INACTIVE

Business

N

First Name

MARIO RAUL

Last Name

REALE

Suffix

MD

Business Name

MARIO RAUL REALE MD

Original Issue Date

07/10/1975

Effective Date

07/10/1975

Expiration Date

07/31/1987

State

NY

Ever Disciplined

N

LastModifiedDate

09/20/2006