JERRY G ROSENBLATT DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048453

License Status

NOT RENEWED

Business

First Name

JERRY

Middle

Last Name

ROSENBLATT

Suffix

Business Name

JERRY G ROSENBLATT DO

Original Issue Date

10/06/1973

Effective Date

10/06/1973

Expiration Date

07/31/1984

City

SUFFERN

State

Zip

10901

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006