MERVIN P MANUEL MD - Medical Doctor License in New York | # 036107322

MERVIN P MANUEL MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107322

License Status

NOT RENEWED

Business

N

First Name

MERVIN

Middle

P

Last Name

MANUEL

Suffix

MD

Business Name

MERVIN P MANUEL MD

Original Issue Date

07/02/2002

Effective Date

07/02/2002

Expiration Date

07/31/2005

State

NY

Ever Disciplined

N

LastModifiedDate

06/27/2011