GLENN EDGAR BULAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100279

License Status

NOT RENEWED

Business

First Name

GLENN

Middle

EDGAR

Last Name

BULAN

Suffix

Business Name

GLENN EDGAR BULAN MD

Original Issue Date

06/01/1999

Effective Date

06/01/1999

Expiration Date

07/31/2002

City

NAPANOCH

State

Zip

12458

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006