GARY L HERZOG DO - Medical Doctor License in New York | # 036079012

GARY L HERZOG DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079012

License Status

NOT RENEWED

Business

N

First Name

GARY L

Last Name

HERZOG

Suffix

DO

Business Name

GARY L HERZOG DO

Original Issue Date

06/13/1989

Effective Date

06/13/1989

Expiration Date

07/31/1999

State

NY

Ever Disciplined

N

LastModifiedDate

12/28/2011