PENNY C LANE MD - Medical Doctor License in New York | # 036084555

PENNY C LANE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084555

License Status

NOT RENEWED

Business

N

First Name

PENNY C

Last Name

LANE

Suffix

MD

Business Name

PENNY C LANE MD

Original Issue Date

06/16/1992

Effective Date

06/16/1992

Expiration Date

07/31/2002

State

NY

Ever Disciplined

N

LastModifiedDate

10/09/2006