License holder summary

OCTAVIO LICON is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for OCTAVIO LICON is MINEOLA NY 11501. This medical practitioner license is not current. The license was granted 02/11/1975 and expired on 12/31/1978.

Department of State

Board of Medicine

OCTAVIO LICON
Medical Physician And Surgeon
License number
MD035787L
Date granted
02/11/1975
Date expires
12/31/1978
Class
Medical Physician And Surgeon
Status
Expired
Address
MINEOLA NY 11501
medicinepa.com
ID 37637067
LAST UPDATED 2026-06-21 07:34:12 UTC

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