License holder summary

PESAVENTO LARA J is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for PESAVENTO LARA J is INDIANAPOLIS IN. This doctor license is not current. The license was granted 06/05/2002.

New York

Office of the Professions

PESAVENTO LARA J
Medicine (Physician, Including M Ds & D Os)
License number
224999
Date granted
06/05/2002
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
INDIANAPOLIS IN
nymedicine.org
ID 30210539
LAST UPDATED 2024-04-05 11:05:13 UTC

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