RICHARD J MACKOOL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131693

License Status

NOT RENEWED

Business

Title

First Name

RICHARD

Middle

Last Name

MACKOOL

Business Name

RICHARD J MACKOOL MD

Original Issue Date

11/07/2012

Effective Date

02/03/2016

Expiration Date

07/31/2017

City

ASTORIA

State

Zip

11103

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/01/2017