HANZY FERRER BUSTAMANTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112522

License Status

NOT RENEWED

Business

First Name

HANZY

Middle

FERRER

Last Name

BUSTAMANTE

Suffix

Business Name

HANZY FERRER BUSTAMANTE MD

Original Issue Date

10/14/2004

Effective Date

10/14/2004

Expiration Date

07/31/2005

City

NEW ROCHELLE

State

Zip

10801

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006