ITA SEGAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097056

License Status

NOT RENEWED

Business

First Name

ITA

Last Name

SEGAL

Suffix

Business Name

ITA SEGAL MD

Original Issue Date

12/04/1997

Effective Date

12/04/1997

Expiration Date

07/31/1999

City

GLASTONBURY

State

Zip

06033

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

09/20/2006