STEVEN MARK BARDOLPH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044730

License Status

NOT RENEWED

Business

First Name

STEVEN MARK

Last Name

BARDOLPH

Suffix

Business Name

STEVEN MARK BARDOLPH MD

Original Issue Date

09/16/1971

Effective Date

09/16/1971

City

APO NEW YORK

State

Zip

09180

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006