License holder summary

CONLY PATRICIA WALLACE is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for CONLY PATRICIA WALLACE is PORT WASHINGTON NY. This doctor license is not current. The license was granted 09/20/1961.

New York

Office of the Professions

CONLY PATRICIA WALLACE
Medicine (Physician, Including M Ds & D Os)
License number
086476
Date granted
09/20/1961
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
PORT WASHINGTON NY
nymedicine.org
ID 30117639
LAST UPDATED 2024-04-11 04:47:14 UTC

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