JONATHAN WALTER ALLEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163625

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

WALTER

Last Name

ALLEN

Business Name

JONATHAN WALTER ALLEN MD

Original Issue Date

02/08/2023

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

NEW YORK

State

Zip

10019

County

NEW YORK

Ever Disciplined

LastModifiedDate

05/23/2023