SARGINE BRUTUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

Title

First Name

SARGINE

Last Name

BRUTUS

Business Name

SARGINE BRUTUS MD

Original Issue Date

10/20/2016

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

NEW YORK

State

Zip

10019

County

NEW YORK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021