EDWARD S AMIS JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046420

License Status

INACTIVE

Business

First Name

EDWARD S

Last Name

AMIS JR

Suffix

Business Name

EDWARD S AMIS JR MD

Original Issue Date

09/18/1972

Effective Date

09/18/1972

Expiration Date

07/31/1987

City

BRONX

State

Zip

10467

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006