IRA M NATHANSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068017

License Status

INACTIVE

Business

First Name

IRA M

Last Name

NATHANSON

Suffix

Business Name

IRA M NATHANSON MD

Original Issue Date

12/01/1983

Effective Date

12/01/1983

Expiration Date

07/31/1987

City

SOUTHWICK

State

Zip

01077

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006