License holder summary

HENRETTA MELISSA SUSAN is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for HENRETTA MELISSA SUSAN is STONY BROOK NY. This doctor license is current. The license was granted 05/23/2011 and expired on 10/31/2016.

New York

Office of the Professions

HENRETTA MELISSA SUSAN
Medicine (Physician, Including M Ds & D Os)
License number
261553
Date granted
05/23/2011
Date expires
10/31/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
STONY BROOK NY
nymedicine.org
ID 30130344
LAST UPDATED 2024-02-21 04:46:55 UTC

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