BACHTRUC T TU Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107641

License Status

NOT RENEWED

Business

First Name

BACHTRUC

Middle

Last Name

Business Name

BACHTRUC T TU

Original Issue Date

08/08/2002

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

POUGHKEEPSIE

State

Zip

12603

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/06/2008