ILLYA KEITH MAHER MD - Medical Doctor License in New York | # 036100760

ILLYA KEITH MAHER MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100760

License Status

NOT RENEWED

Business

N

First Name

ILLYA

Middle

KEITH

Last Name

MAHER

Suffix

MD

Business Name

ILLYA KEITH MAHER MD

Original Issue Date

07/21/1999

Effective Date

07/21/1999

Expiration Date

07/31/2002

State

NY

Ever Disciplined

N

LastModifiedDate

10/09/2006