PENNY C LANE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084555

License Status

NOT RENEWED

Business

First Name

PENNY C

Last Name

LANE

Suffix

Business Name

PENNY C LANE MD

Original Issue Date

06/16/1992

Effective Date

06/16/1992

Expiration Date

07/31/2002

City

FPO AE

State

Zip

09645

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006