CANDRICE RACHELLE HEATH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123931

License Status

NOT RENEWED

Business

First Name

CANDRICE

Middle

RACHELLE

Last Name

HEATH

Suffix

Business Name

CANDRICE RACHELLE HEATH MD

Original Issue Date

07/07/2009

Effective Date

06/06/2011

Expiration Date

07/31/2014

City

NEW YORK

State

Zip

10023

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/17/2014