License holder summary

DEROSAS JUAN FACUNDO is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for DEROSAS JUAN FACUNDO is LOCKPORT NY. This doctor license is current. The license was granted 09/06/1973 and expired on 01/31/2017.

New York

Office of the Professions

DEROSAS JUAN FACUNDO
Medicine (Physician, Including M Ds & D Os)
License number
117428
Date granted
09/06/1973
Date expires
01/31/2017
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
LOCKPORT NY
nymedicine.org
ID 30125654
LAST UPDATED 2024-03-16 04:43:41 UTC

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