GLENN EDGAR BULAN MD - Medical Doctor License in New York | # 036100279

GLENN EDGAR BULAN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100279

License Status

NOT RENEWED

Business

N

First Name

GLENN

Middle

EDGAR

Last Name

BULAN

Suffix

MD

Business Name

GLENN EDGAR BULAN MD

Original Issue Date

06/01/1999

Effective Date

06/01/1999

Expiration Date

07/31/2002

State

NY

Ever Disciplined

N

LastModifiedDate

10/09/2006