DALE DAVID DERSHAW MD - Medical Doctor License in New York | # 036058694

DALE DAVID DERSHAW MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058694

License Status

INACTIVE

Business

N

First Name

DALE DAVID

Last Name

DERSHAW

Suffix

MD

Business Name

DALE DAVID DERSHAW MD

Original Issue Date

05/17/1979

Effective Date

05/17/1979

Expiration Date

07/31/1987

State

NY

Ever Disciplined

N

LastModifiedDate

09/20/2006