License holder summary

IDANAN LILIA BONGALA is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for IDANAN LILIA BONGALA is SEARINGTOWN NY. This doctor license is current. The license was granted 01/08/1991 and expired on 02/29/2016.

New York

Office of the Professions

IDANAN LILIA BONGALA
Medicine (Physician, Including M Ds & D Os)
License number
184732
Date granted
01/08/1991
Date expires
02/29/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
SEARINGTOWN NY
nymedicine.org
ID 30173676
LAST UPDATED 2024-02-28 14:27:03 UTC

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