RUSSELL J CRIDER JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046742

License Status

INACTIVE

Business

First Name

RUSSELL J

Last Name

CRIDER JR

Suffix

Business Name

RUSSELL J CRIDER JR MD

Original Issue Date

01/23/1973

Effective Date

01/23/1973

Expiration Date

07/31/1987

City

NEW YORK

State

Zip

10016

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006