License holder summary

CHAN-PONG K DEREK is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for CHAN-PONG K DEREK is INDIALANTIC FL. This doctor license is not current. The license was granted 09/25/1992.

New York

Office of the Professions

CHAN-PONG K DEREK
Medicine (Physician, Including M Ds & D Os)
License number
190515
Date granted
09/25/1992
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
INDIALANTIC FL
nymedicine.org
ID 30109631
LAST UPDATED 2024-04-01 09:56:33 UTC

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