DAVID MICHAEL DIBARDINO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131174

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

MICHAEL

Last Name

DIBARDINO

Business Name

DAVID MICHAEL DIBARDINO MD

Original Issue Date

08/15/2012

Effective Date

08/15/2012

Expiration Date

07/31/2014

City

NEW YORK

State

Zip

10028

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/17/2014