LAWRENCE NEIL TANENBAUM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123812

License Status

INACTIVE

Business

First Name

LAWRENCE

Middle

NEIL

Last Name

TANENBAUM

Suffix

Business Name

LAWRENCE NEIL TANENBAUM MD

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

07/31/2011

City

WARREN

State

Zip

07059

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

04/07/2011