EDWIN BERNARDO TIRADO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112544

License Status

NOT RENEWED

Business

First Name

EDWIN

Middle

BERNARDO

Last Name

TIRADO

Suffix

Business Name

EDWIN BERNARDO TIRADO MD

Original Issue Date

10/18/2004

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

NEW YORK CITY

State

Zip

10021

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/14/2011