KENNETH J MINTZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091480

License Status

INACTIVE

Business

First Name

KENNETH J

Last Name

MINTZ

Suffix

Business Name

KENNETH J MINTZ MD

Original Issue Date

07/31/1995

Effective Date

07/31/1995

Expiration Date

07/31/1999

City

VESTAL

State

Zip

13850

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006