JACK WALTER MILDER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036030829

License Status

INACTIVE

Business

First Name

JACK WALTER

Last Name

MILDER

Suffix

Business Name

JACK WALTER MILDER MD

Original Issue Date

08/15/1951

Effective Date

08/15/1951

Expiration Date

07/31/1993

City

MOUNT VERNON

State

Zip

10552

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006