JUNE HARUMI KOIZUMI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

CANCELLED

Business

First Name

JUNE HARUMI

Last Name

KOIZUMI

Suffix

Business Name

JUNE HARUMI KOIZUMI MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

BRONX

State

Zip

10467

County

NEW YORK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006