DENIS STEPHEN AVERY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042406

License Status

NOT RENEWED

Business

First Name

DENIS STEPHEN

Last Name

AVERY

Suffix

Business Name

DENIS STEPHEN AVERY MD

Original Issue Date

03/17/1969

Effective Date

03/17/1969

City

APO NEW YORK

State

Zip

09139

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006