ANDREW DONGUK NAM MD - Medical Doctor License in New York | # 036143603

ANDREW DONGUK NAM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143603

License Status

NOT RENEWED

Business

N

Title

MD

First Name

ANDREW

Middle

DONGUK

Last Name

NAM

Business Name

ANDREW DONGUK NAM MD

Original Issue Date

06/22/2017

Effective Date

06/22/2017

Expiration Date

09/30/2020

State

NY

Ever Disciplined

N

LastModifiedDate

01/14/2021