LAWRENCE MASS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058023

License Status

INACTIVE

Business

First Name

LAWRENCE

Last Name

MASS

Suffix

Business Name

LAWRENCE MASS MD

Original Issue Date

11/13/1978

Effective Date

11/13/1978

Expiration Date

07/31/1987

City

NEW YORK

State

Zip

10011

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006