ETHAN D MD NYDORF MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072208

License Status

INACTIVE

Business

First Name

ETHAN D MD

Last Name

NYDORF

Suffix

Business Name

ETHAN D MD NYDORF MD

Original Issue Date

01/14/1986

Effective Date

01/14/1986

Expiration Date

07/31/1987

City

WORCESTER

State

Zip

01604

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006