RICHARD SIAHAAN MD - Medical Doctor License in New York | # 036052558

RICHARD SIAHAAN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052558

License Status

NOT RENEWED

Business

N

First Name

RICHARD

Last Name

SIAHAAN

Suffix

MD

Business Name

RICHARD SIAHAAN MD

Original Issue Date

03/26/1976

Effective Date

03/26/1976

State

NY

Ever Disciplined

N

LastModifiedDate

09/20/2006