SAMUEL D BALK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073318

License Status

INACTIVE

Business

First Name

SAMUEL D

Last Name

BALK

Suffix

Business Name

SAMUEL D BALK MD

Original Issue Date

07/30/1986

Effective Date

07/30/1986

Expiration Date

07/31/1987

City

NEW YORK

State

Zip

10038

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006