HOWARD MICHAEL BLANK - Podiatrist License in New York | # 016003125

HOWARD MICHAEL BLANK

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003125

License Status

NOT RENEWED

Business

N

First Name

HOWARD MICHAEL

Last Name

BLANK

Business Name

HOWARD MICHAEL BLANK

Original Issue Date

06/23/1980

Effective Date

06/23/1980

Expiration Date

01/31/1985

State

NY

Ever Disciplined

N

LastModifiedDate

09/25/2006