WILLIAM AVERY MIX MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058067

License Status

INACTIVE

Business

First Name

WILLIAM AVERY

Last Name

MIX

Suffix

Business Name

WILLIAM AVERY MIX MD

Original Issue Date

11/20/1978

Effective Date

11/20/1978

Expiration Date

07/31/1984

City

WESTFIELD

State

Zip

14787

County

NEW YORK

Ever Disciplined

LastModifiedDate

04/05/2016