DALE WARREN SPONAUGLE MD - Medical Doctor License in New York | # 036131361

DALE WARREN SPONAUGLE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131361

License Status

NOT RENEWED

Business

N

Title

MD

First Name

DALE

Middle

WARREN

Last Name

SPONAUGLE

Business Name

DALE WARREN SPONAUGLE MD

Original Issue Date

09/12/2012

Effective Date

05/26/2020

Expiration Date

07/31/2023

State

NY

Ever Disciplined

N

LastModifiedDate

11/30/2023