License holder summary

MALLEN JONATHAN R is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for MALLEN JONATHAN R is WOODBURY NY. This doctor license is current. The license was granted 04/04/2000 and expired on 04/30/2016.

New York

Office of the Professions

MALLEN JONATHAN R
Medicine (Physician, Including M Ds & D Os)
License number
217086
Date granted
04/04/2000
Date expires
04/30/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
WOODBURY NY
nymedicine.org
ID 30211416
LAST UPDATED 2024-03-16 16:12:52 UTC

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