MARK WEIDENBAUM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072449

License Status

INACTIVE

Business

First Name

MARK

Last Name

WEIDENBAUM

Suffix

Business Name

MARK WEIDENBAUM MD

Original Issue Date

03/27/1986

Effective Date

03/27/1986

Expiration Date

07/31/1987

City

NEW YORK

State

Zip

10023

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006