SHARI D BECKER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108169

License Status

INACTIVE

Business

First Name

SHARI

Middle

Last Name

BECKER

Suffix

Business Name

SHARI D BECKER MD

Original Issue Date

11/15/2002

Effective Date

11/15/2002

Expiration Date

07/31/2005

City

STONY BROOK

State

Zip

11790

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006