MARSHALL DONALD LUSTGARTEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039621

License Status

NOT RENEWED

Business

First Name

MARSHALL DONALD

Last Name

LUSTGARTEN

Suffix

Business Name

MARSHALL DONALD LUSTGARTEN MD

Original Issue Date

05/25/1965

Effective Date

05/25/1965

City

SYRACUSE

State

Zip

13214

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006