THOMAS T MOOKEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048774

License Status

NOT RENEWED

Business

First Name

THOMAS T

Last Name

MOOKEN

Suffix

Business Name

THOMAS T MOOKEN MD

Original Issue Date

02/05/1974

Effective Date

02/05/1974

City

STATEN ISLAND

State

Zip

10305

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006