ILLYA KEITH MAHER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100760

License Status

NOT RENEWED

Business

First Name

ILLYA

Middle

KEITH

Last Name

MAHER

Suffix

Business Name

ILLYA KEITH MAHER MD

Original Issue Date

07/21/1999

Effective Date

07/21/1999

Expiration Date

07/31/2002

City

GREAT NECK

State

Zip

11024

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006