EARL TAITT JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076505

License Status

NOT RENEWED

Business

First Name

EARL

Last Name

TAITT JR

Suffix

Business Name

EARL TAITT JR MD

Original Issue Date

12/24/1987

Effective Date

12/24/1987

Expiration Date

07/31/1993

City

FORT DRUM

State

Zip

13003

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006