JUDITH ANN DATTARO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087862

License Status

NOT RENEWED

Business

First Name

JUDITH ANN

Last Name

DATTARO

Suffix

Business Name

JUDITH ANN DATTARO MD

Original Issue Date

12/16/1993

Effective Date

12/16/1993

Expiration Date

07/31/2005

City

NEW YORK

State

Zip

10128

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006