PETER SHROCK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043000

License Status

INACTIVE

Business

First Name

PETER

Last Name

SHROCK

Suffix

Business Name

PETER SHROCK MD

Original Issue Date

09/26/1969

Effective Date

09/26/1969

Expiration Date

07/31/1990

City

ROSLYN HARBOR

State

Zip

11576

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006