YURY TAKHALOV MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125894

License Status

NOT RENEWED

Business

Title

First Name

YURY

Last Name

TAKHALOV

Business Name

YURY TAKHALOV MD

Original Issue Date

06/01/2010

Effective Date

06/01/2010

Expiration Date

07/31/2011

City

MIDDLE VILLAGE

State

Zip

11379

Ever Disciplined

LastModifiedDate

11/14/2011