ADAM R BUCKLEY Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098849

License Status

INACTIVE

Business

First Name

ADAM

Middle

Last Name

BUCKLEY

Business Name

ADAM R BUCKLEY

Original Issue Date

08/21/1998

Effective Date

08/21/1998

Expiration Date

07/31/2005

City

SETOUKET

State

Zip

11733

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/08/2012