HAROLD TANEBAUM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131754

License Status

INACTIVE

Business

Title

First Name

HAROLD

Last Name

TANEBAUM

Business Name

HAROLD TANEBAUM MD

Original Issue Date

11/21/2012

Effective Date

11/21/2012

Expiration Date

07/31/2014

City

MANHASSET

State

Zip

11030

County

NEW YORK

Ever Disciplined

LastModifiedDate

04/08/2014