License holder summary

MOSHE B MIRILASHVILI is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for MOSHE B MIRILASHVILI is SYOSSET NY 11291. This medical practitioner license is not current. The license was granted 09/30/1983 and expired on 12/31/1992.

Department of State

Board of Medicine

MOSHE B MIRILASHVILI
Medical Physician And Surgeon
License number
MD030165E
Date granted
09/30/1983
Date expires
12/31/1992
Class
Medical Physician And Surgeon
Status
Revoked
Address
SYOSSET NY 11291
medicinepa.com
ID 37643663
LAST UPDATED 2024-05-25 04:42:45 UTC

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