License holder summary

GROTH MARITZA LASTRA is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for GROTH MARITZA LASTRA is PORT JEFFERSON NY. This doctor license is current. The license was granted 07/30/1984 and expired on 08/31/2015.

New York

Office of the Professions

GROTH MARITZA LASTRA
Medicine (Physician, Including M Ds & D Os)
License number
159478
Date granted
07/30/1984
Date expires
08/31/2015
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
PORT JEFFERSON NY
nymedicine.org
ID 30159148
LAST UPDATED 2024-02-17 10:22:27 UTC

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