KERN SCOTT KOO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106984

License Status

NOT RENEWED

Business

First Name

KERN

Middle

SCOTT

Last Name

KOO

Business Name

KERN SCOTT KOO

Original Issue Date

05/15/2002

Effective Date

05/15/2002

Expiration Date

07/31/2005

City

FOREST HILLS

State

Zip

11375

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006