GARY L HERZOG DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079012

License Status

NOT RENEWED

Business

First Name

GARY L

Last Name

HERZOG

Suffix

Business Name

GARY L HERZOG DO

Original Issue Date

06/13/1989

Effective Date

06/13/1989

Expiration Date

07/31/1999

City

NEW YORK

State

Zip

10021

County

NEW YORK

Ever Disciplined

LastModifiedDate

12/28/2011