ROBERT CORWIN DETCH - Medical Doctor License in New York | # 036120341

ROBERT CORWIN DETCH

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120341

License Status

INACTIVE

Business

N

First Name

ROBERT

Middle

CORWIN

Last Name

DETCH

Business Name

ROBERT CORWIN DETCH

Original Issue Date

03/17/2008

Effective Date

04/17/2008

Expiration Date

07/31/2011

State

NY

Ever Disciplined

N

LastModifiedDate

04/07/2011