ERIC LAWRENCE MARTIN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104197

License Status

INACTIVE

Business

First Name

ERIC

Middle

LAWRENCE

Last Name

MARTIN

Suffix

Business Name

ERIC LAWRENCE MARTIN MD

Original Issue Date

02/15/2001

Effective Date

02/15/2001

Expiration Date

07/31/2002

City

EAST MEADOW

State

Zip

11554

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006