DALE DAVID DERSHAW MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058694

License Status

INACTIVE

Business

First Name

DALE DAVID

Last Name

DERSHAW

Suffix

Business Name

DALE DAVID DERSHAW MD

Original Issue Date

05/17/1979

Effective Date

05/17/1979

Expiration Date

07/31/1987

City

NEW YORK

State

Zip

10021

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006