HAROLD TANEBAUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

Title

First Name

HAROLD

Last Name

TANEBAUM

Business Name

HAROLD TANEBAUM MD

Original Issue Date

11/21/2012

Effective Date

11/21/2012

Expiration Date

07/31/2014

City

MANHASSET

State

Zip

11030

County

NEW YORK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014