ANTONIO J DY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046891

License Status

NOT RENEWED

Business

First Name

ANTONIO J

Last Name

Suffix

Business Name

ANTONIO J DY MD

Original Issue Date

02/07/1973

Effective Date

02/07/1973

City

NEW HAVEN

State

Zip

06515

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

09/20/2006