BRUCE E SPIVEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086521

License Status

NOT RENEWED

Business

First Name

BRUCE E

Last Name

SPIVEY

Suffix

Business Name

BRUCE E SPIVEY MD

Original Issue Date

06/18/1993

Effective Date

06/18/1993

Expiration Date

07/31/1999

City

NEW YORK

State

Zip

10022

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006