PHILIP THALER LEVY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144114

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

THALER

Last Name

LEVY

Suffix

Business Name

PHILIP THALER LEVY MD

Original Issue Date

08/16/2017

Effective Date

08/16/2017

Expiration Date

09/30/2020

City

WEST ORANGE

State

Zip

07052

Ever Disciplined

LastModifiedDate

01/14/2021