TIMOTHY G DEZASTRO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140467

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

Last Name

DEZASTRO

Business Name

TIMOTHY G DEZASTRO MD

Original Issue Date

04/22/2016

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

BUFFALO

State

Zip

14205

Ever Disciplined

LastModifiedDate

07/19/2023