MAGNUS HAUKUR AGUSTSSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

MAGNUS HAUKUR

Last Name

AGUSTSSON

Suffix

Business Name

MAGNUS HAUKUR AGUSTSSON MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

MIDDLEBURGH

State

Zip

12122

County

NEW YORK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006