KENNETH J MINTZ MD - Medical Doctor License in New York | # 036091480

KENNETH J MINTZ MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091480

License Status

INACTIVE

Business

N

First Name

KENNETH J

Last Name

MINTZ

Suffix

MD

Business Name

KENNETH J MINTZ MD

Original Issue Date

07/31/1995

Effective Date

07/31/1995

Expiration Date

07/31/1999

State

NY

Ever Disciplined

N

LastModifiedDate

09/20/2006