License holder summary

FORD-MUKKAMALA LAURA LOUISE is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for FORD-MUKKAMALA LAURA LOUISE is ORCHARD PARK NY. This doctor license is current. The license was granted 05/17/2012 and expired on 12/31/2015.

New York

Office of the Professions

FORD-MUKKAMALA LAURA LOUISE
Medicine (Physician, Including M Ds & D Os)
License number
265258
Date granted
05/17/2012
Date expires
12/31/2015
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
ORCHARD PARK NY
nymedicine.org
ID 30142068
LAST UPDATED 2024-02-25 16:54:47 UTC

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