JORGE MARTIN BALAGUER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136654

License Status

INACTIVE

Business

Title

First Name

JORGE

Middle

MARTIN

Last Name

BALAGUER

Business Name

JORGE MARTIN BALAGUER MD

Original Issue Date

10/10/2014

Effective Date

07/20/2020

Expiration Date

07/31/2023

City

SMITHTOWN

State

Zip

11787

Ever Disciplined

LastModifiedDate

07/10/2023