KENNETH WAYNE ALTMAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100247

License Status

INACTIVE

Business

First Name

KENNETH

Middle

WAYNE

Last Name

ALTMAN

Suffix

Business Name

KENNETH WAYNE ALTMAN MD

Original Issue Date

05/24/1999

Effective Date

05/24/1999

Expiration Date

07/31/2005

City

NEW YORK

State

Zip

10029

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006