JAY H MO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107317

License Status

INACTIVE

Business

First Name

JAY

Middle

Last Name

Suffix

Business Name

JAY H MO MD

Original Issue Date

07/02/2002

Effective Date

09/19/2011

Expiration Date

07/31/2014

City

LOUDONVILLE

State

Zip

12211

Ever Disciplined

LastModifiedDate

04/08/2014