License holder summary

ESFORMES IRA is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for ESFORMES IRA is EMERSON NJ. This doctor license is current. The license was granted 07/01/1978 and expired on 11/30/2015.

New York

Office of the Professions

ESFORMES IRA
Medicine (Physician, Including M Ds & D Os)
License number
134954
Date granted
07/01/1978
Date expires
11/30/2015
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
EMERSON NJ
nymedicine.org
ID 30135117
LAST UPDATED 2024-03-19 01:42:14 UTC

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