License holder summary

FAN GRACE is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for FAN GRACE is LONG ISLAND CITY NY. This doctor license is not current. The license was granted 12/20/2004.

New York

Office of the Professions

FAN GRACE
Medicine (Physician, Including M Ds & D Os)
License number
234721
Date granted
12/20/2004
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
LONG ISLAND CITY NY
nymedicine.org
ID 30136513
LAST UPDATED 2024-03-11 02:07:09 UTC

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