DANIEL LA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160807

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Last Name

Business Name

DANIEL LA MD

Original Issue Date

06/08/2022

Effective Date

06/08/2022

Expiration Date

07/31/2023

City

ROSLYN HEIGHTS

State

Zip

11577

Ever Disciplined

LastModifiedDate

11/30/2023