License holder summary

EISENMAN JACK I is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for EISENMAN JACK I is MARINA DEL REY CA. This doctor license is not current. The license was granted 12/10/1956.

New York

Office of the Professions

EISENMAN JACK I
Medicine (Physician, Including M Ds & D Os)
License number
078773
Date granted
12/10/1956
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
MARINA DEL REY CA
nymedicine.org
ID 30133099
LAST UPDATED 2024-03-11 05:36:11 UTC

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