License holder summary

BLANK ALLA is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for BLANK ALLA is STATEN ISLAND NY. This doctor license is current. The license was granted 08/07/1996 and expired on 07/31/2015.

New York

Office of the Professions

BLANK ALLA
Medicine (Physician, Including M Ds & D Os)
License number
204065
Date granted
08/07/1996
Date expires
07/31/2015
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
STATEN ISLAND NY
nymedicine.org
ID 30129012
LAST UPDATED 2024-02-27 10:39:53 UTC

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