SHMUEL MANDELBAUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084094

License Status

NOT RENEWED

Business

Title

First Name

SHMUEL

Last Name

MANDELBAUM

Business Name

SHMUEL MANDELBAUM MD

Original Issue Date

03/12/1992

Effective Date

06/29/2021

Expiration Date

07/31/2023

City

MEQUON

State

Zip

53092

Ever Disciplined

LastModifiedDate

11/30/2023