STEPHEN RICHARD CHAZIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041160

License Status

NOT RENEWED

Business

First Name

STEPHEN RICHARD

Last Name

CHAZIN

Suffix

Business Name

STEPHEN RICHARD CHAZIN MD

Original Issue Date

07/28/1967

Effective Date

07/28/1967

City

DOUGLASTON

State

Zip

11363

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006