RALPH GARY LARAISO DO - Medical Doctor License in New York | # 036099567

RALPH GARY LARAISO DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099567

License Status

NOT RENEWED

Business

N

First Name

RALPH

Middle

GARY

Last Name

LARAISO

Suffix

DO

Business Name

RALPH GARY LARAISO DO

Original Issue Date

02/01/1999

Effective Date

02/01/1999

Expiration Date

07/31/2005

State

NY

Ever Disciplined

N

LastModifiedDate

10/30/2013