PAUL B ROLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124681

License Status

NOT RENEWED

Business

Title

First Name

PAUL

Middle

Last Name

ROLEN

Business Name

PAUL B ROLEN MD

Original Issue Date

12/01/2009

Effective Date

12/01/2009

Expiration Date

07/31/2011

City

NEW YORK

State

Zip

10024

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/14/2011