License holder summary

FASTLICH IRA LEONARD is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for FASTLICH IRA LEONARD is ELMONT NY. This doctor license is current. The license was granted 03/25/1985 and expired on 11/30/2015.

New York

Office of the Professions

FASTLICH IRA LEONARD
Medicine (Physician, Including M Ds & D Os)
License number
161718
Date granted
03/25/1985
Date expires
11/30/2015
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
ELMONT NY
nymedicine.org
ID 30137198
LAST UPDATED 2024-05-05 05:01:38 UTC

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