DANIEL JAMES GORMAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129590

License Status

INACTIVE

Business

Title

First Name

DANIEL

Middle

JAMES

Last Name

GORMAN

Business Name

DANIEL JAMES GORMAN MD

Original Issue Date

02/09/2012

Effective Date

02/09/2012

Expiration Date

07/31/2014

City

FAIRLAWN

State

Zip

44333

Ever Disciplined

LastModifiedDate

04/08/2014