MATTHEW BIRK MELLON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134833

License Status

NOT RENEWED

Business

Title

First Name

MATTHEW

Middle

BIRK

Last Name

MELLON

Business Name

MATTHEW BIRK MELLON MD

Original Issue Date

03/20/2014

Effective Date

03/20/2014

Expiration Date

07/31/2014

City

ROCKVILLE CENTRE

State

Zip

11570

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/17/2014