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 2026-05-29 04:37:49 UTC
LAST UPDATED 2026-05-29 04:37:49 UTC
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