Department of State
Board of Medicine
M I CONTRACTOR
Medical Physician And Surgeon
License number
MD017255E
Date granted
09/26/1975
Date expires
12/31/1976
Class
Medical Physician And Surgeon
Status
Expired
Address
BROOKLYN NY 11220
medicinepa.com
ID 37593754
LAST UPDATED 2026-04-17 05:50:18 UTC
LAST UPDATED 2026-04-17 05:50:18 UTC
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