BETH SHAPIRO BROMBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073566

License Status

NOT RENEWED

Business

First Name

BETH SHAPIRO

Last Name

BROMBERG

Suffix

Business Name

BETH SHAPIRO BROMBERG MD

Original Issue Date

08/26/1986

Effective Date

08/26/1986

Expiration Date

07/31/1993

City

CHAPPAQUA

State

Zip

10514

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006