ROBERT CORWIN DETCH Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120341

License Status

INACTIVE

Business

First Name

ROBERT

Middle

CORWIN

Last Name

DETCH

Business Name

ROBERT CORWIN DETCH

Original Issue Date

03/17/2008

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

BULLVILLE

State

Zip

10915

County

NEW YORK

Ever Disciplined

LastModifiedDate

04/07/2011