License holder summary

DESTILO LISA is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for DESTILO LISA is NEW YORK NY. This doctor license is not current. The license was granted 10/04/1989.

New York

Office of the Professions

DESTILO LISA
Medicine (Physician, Including M Ds & D Os)
License number
180240
Date granted
10/04/1989
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
NEW YORK NY
nymedicine.org
ID 30126126
LAST UPDATED 2026-05-18 18:49:03 UTC

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