AGUSTINUS WILARAS MD - Medical Doctor License in New York | # 036070917

AGUSTINUS WILARAS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070917

License Status

NOT RENEWED

Business

N

First Name

AGUSTINUS

Last Name

WILARAS

Suffix

MD

Business Name

AGUSTINUS WILARAS MD

Original Issue Date

06/17/1985

Effective Date

06/17/1985

Expiration Date

07/31/1987

State

NY

Ever Disciplined

N

LastModifiedDate

09/20/2006