RAUL J PUERTOLLANO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079517

License Status

NOT RENEWED

Business

First Name

RAUL

Middle

Last Name

PUERTOLLANO

Suffix

Business Name

RAUL J PUERTOLLANO MD

Original Issue Date

11/04/1989

Effective Date

11/04/1989

Expiration Date

07/31/1996

City

NEW YORK

State

Zip

10028

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006

Case Number

1995010925

Action

Probation

Discipline Start Date

10/23/1997

Discipline End Date

01/07/1999