License holder summary

DERENZO TIMOTHY SHAWN is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for DERENZO TIMOTHY SHAWN is NISKAYUNA NY. This doctor license is current. The license was granted 06/11/2007 and expired on 03/31/2017.

New York

Office of the Professions

DERENZO TIMOTHY SHAWN
Medicine (Physician, Including M Ds & D Os)
License number
244547
Date granted
06/11/2007
Date expires
03/31/2017
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
NISKAYUNA NY
nymedicine.org
ID 30125595
LAST UPDATED 2024-04-27 13:34:20 UTC

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