MABEL DORA DAMODIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042052

License Status

NOT RENEWED

Business

First Name

MABEL DORA

Last Name

DAMODIO

Suffix

Business Name

MABEL DORA DAMODIO MD

Original Issue Date

08/01/1968

Effective Date

08/01/1968

City

NEW YORK

State

Zip

10021

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006