HOWARD MICHAEL BLANK Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003125

License Status

NOT RENEWED

Business

First Name

HOWARD MICHAEL

Last Name

BLANK

Business Name

HOWARD MICHAEL BLANK

Original Issue Date

06/23/1980

Effective Date

06/23/1980

Expiration Date

01/31/1985

City

JERICHO

State

Zip

11753

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/25/2006