License holder summary

FORT LISA BIRDSALL is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for FORT LISA BIRDSALL is NEW YORK NY. This doctor license is not current. The license was granted 06/16/2010.

New York

Office of the Professions

FORT LISA BIRDSALL
Medicine (Physician, Including M Ds & D Os)
License number
257340
Date granted
06/16/2010
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
NEW YORK NY
nymedicine.org
ID 30142297
LAST UPDATED 2024-02-15 22:39:24 UTC

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