License holder summary

FISHAUT JACK MARK is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for FISHAUT JACK MARK is DEPEW NY. This doctor license is not current. The license was granted 05/25/1979.

New York

Office of the Professions

FISHAUT JACK MARK
Medicine (Physician, Including M Ds & D Os)
License number
138174
Date granted
05/25/1979
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
DEPEW NY
nymedicine.org
ID 30140406
LAST UPDATED 2026-05-04 22:11:06 UTC

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