SAMUEL M WAISS DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004171

License Status

INACTIVE

Business

First Name

SAMUEL M

Last Name

WAISS

Suffix

DPM

Business Name

SAMUEL M WAISS DPM

Original Issue Date

11/26/1987

Effective Date

11/26/1987

Expiration Date

01/31/1989

City

BROOKLYN

State

Zip

11220

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/25/2006