RICHARD J MACKOOL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000342

License Status

EXPIRED

Business

Title

First Name

RICHARD

Middle

Last Name

MACKOOL

Business Name

RICHARD J MACKOOL MD

Original Issue Date

04/01/2008

Effective Date

04/01/2008

Expiration Date

09/30/2008

City

ASTORIA

State

Zip

11103

County

NEW YORK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

11/05/2008