MATTHEW BIRK MELLON MD - Medical Doctor License in New York | # 036134833

MATTHEW BIRK MELLON MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134833

License Status

NOT RENEWED

Business

N

Title

MD

First Name

MATTHEW

Middle

BIRK

Last Name

MELLON

Business Name

MATTHEW BIRK MELLON MD

Original Issue Date

03/20/2014

Effective Date

03/20/2014

Expiration Date

07/31/2014

State

NY

Ever Disciplined

N

LastModifiedDate

11/17/2014