NESTOR D BLYZNAK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075196

License Status

INACTIVE

Business

First Name

NESTOR D

Last Name

BLYZNAK

Suffix

Business Name

NESTOR D BLYZNAK MD

Original Issue Date

06/22/1987

Effective Date

06/22/1987

Expiration Date

07/31/1990

City

SETAUKET

State

Zip

11733

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006