DAVID S CHANNIN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095810

License Status

INACTIVE

Business

First Name

DAVID S

Last Name

CHANNIN

Suffix

Business Name

DAVID S CHANNIN MD

Original Issue Date

06/26/1997

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

VESTAL

State

Zip

13850

Ever Disciplined

LastModifiedDate

06/25/2014