NYUNT TIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047738

License Status

NOT RENEWED

Business

First Name

NYUNT

Last Name

TIN

Suffix

Business Name

NYUNT TIN MD

Original Issue Date

08/17/1973

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

CARLSBAD

State

Zip

92009

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/01/2017