LISA WAXMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059444

License Status

NOT RENEWED

Business

First Name

LISA

Last Name

WAXMAN

Suffix

Business Name

LISA WAXMAN MD

Original Issue Date

09/18/1979

Effective Date

09/18/1979

Expiration Date

07/31/1984

City

BROOKLYN

State

Zip

11224

County

NEW YORK

Ever Disciplined

LastModifiedDate

02/04/2014