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 2024-02-16 08:39:12 UTC
LAST UPDATED 2024-02-16 08:39:12 UTC
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