JONATHAN JOSEPH VITALE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133910

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

JOSEPH

Last Name

VITALE

Business Name

JONATHAN JOSEPH VITALE DO

Original Issue Date

09/03/2013

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

NEW YORK

State

Zip

10036

Ever Disciplined

LastModifiedDate

07/27/2023