FREDERICK P GUTT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131492

License Status

INACTIVE

Business

Title

First Name

FREDERICK

Middle

Last Name

GUTT

Business Name

FREDERICK P GUTT MD

Original Issue Date

09/21/2012

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

MELVILLE

State

Zip

11747

County

NEW YORK

Ever Disciplined

LastModifiedDate

04/05/2020