MARTHA R MARDACH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073661

License Status

INACTIVE

Business

First Name

MARTHA R

Last Name

MARDACH

Suffix

Business Name

MARTHA R MARDACH MD

Original Issue Date

09/02/1986

Effective Date

09/02/1986

Expiration Date

07/31/1987

City

NEW YORK

State

Zip

10019

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006