INGRID KATHERINE MUDGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100452

License Status

NOT RENEWED

Business

First Name

INGRID

Middle

KATHERINE

Last Name

MUDGE

Suffix

Business Name

INGRID KATHERINE MUDGE MD

Original Issue Date

06/28/1999

Effective Date

06/28/1999

Expiration Date

07/31/2002

City

NEW YORK

State

Zip

10023

County

NEW YORK

Ever Disciplined

LastModifiedDate

08/16/2018