RICHARD SIAHAAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052558

License Status

NOT RENEWED

Business

First Name

RICHARD

Last Name

SIAHAAN

Suffix

Business Name

RICHARD SIAHAAN MD

Original Issue Date

03/26/1976

Effective Date

03/26/1976

City

NEWBURGH

State

Zip

12550

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006