ANDREW DONGUK NAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143603

License Status

NOT RENEWED

Business

Title

First Name

ANDREW

Middle

DONGUK

Last Name

NAM

Business Name

ANDREW DONGUK NAM MD

Original Issue Date

06/22/2017

Effective Date

06/22/2017

Expiration Date

09/30/2020

City

FLUSHING

State

Zip

11355

County

NEW YORK

Ever Disciplined

LastModifiedDate

01/14/2021