License holder summary

DEPOT MARY JANE THERESA is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for DEPOT MARY JANE THERESA is SOUTH SALEM NY. This doctor license is not current. The license was granted 06/18/1982.

New York

Office of the Professions

DEPOT MARY JANE THERESA
Medicine (Physician, Including M Ds & D Os)
License number
150312
Date granted
06/18/1982
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
SOUTH SALEM NY
nymedicine.org
ID 30125537
LAST UPDATED 2026-05-05 18:46:28 UTC

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