MERVIN P MANUEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107322

License Status

NOT RENEWED

Business

First Name

MERVIN

Middle

Last Name

MANUEL

Suffix

Business Name

MERVIN P MANUEL MD

Original Issue Date

07/02/2002

Effective Date

07/02/2002

Expiration Date

07/31/2005

City

ELMHURST

State

Zip

11373

County

NEW YORK

Ever Disciplined

LastModifiedDate

06/27/2011