BRYAN JEFFREY EBERT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126523

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

JEFFREY

Last Name

EBERT

Suffix

Business Name

BRYAN JEFFREY EBERT MD

Original Issue Date

08/19/2010

Effective Date

07/09/2014

Expiration Date

07/31/2017

City

RYE BROOK

State

Zip

10573

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/01/2017