MARTIN BRUCE WAX MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094521

License Status

NOT RENEWED

Business

First Name

MARTIN BRUCE

Last Name

WAX

Suffix

Business Name

MARTIN BRUCE WAX MD

Original Issue Date

11/15/1996

Effective Date

05/14/2014

Expiration Date

07/31/2017

City

FAR HILLS

State

Zip

07931

County

TEXAS

Ever Disciplined

LastModifiedDate

11/01/2017