DIB CAED MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094699

License Status

INACTIVE

Business

First Name

DIB

Last Name

CAED

Suffix

Business Name

DIB CAED MD

Original Issue Date

01/24/1997

Effective Date

01/24/1997

Expiration Date

07/31/1999

City

BINGHAMTON

State

Zip

13905

County

NEW YORK

Ever Disciplined

LastModifiedDate

06/11/2013