IRA BIRNBAUM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084283

License Status

INACTIVE

Business

First Name

IRA

Last Name

BIRNBAUM

Suffix

Business Name

IRA BIRNBAUM MD

Original Issue Date

04/20/1992

Effective Date

04/20/1992

Expiration Date

07/31/1993

City

STATEN ISLAND

State

Zip

10314

County

NEW YORK

Ever Disciplined

LastModifiedDate

05/27/2009