New York
Office of the Professions
JENKINS WALLACE RUSSELL JR
Medicine (Physician, Including M Ds & D Os)
License number
183800
Date granted
09/05/1990
Date expires
05/31/2017
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
VALHALLA NY
nymedicine.org
ID 30177529
LAST UPDATED 2024-02-03 13:12:10 UTC
LAST UPDATED 2024-02-03 13:12:10 UTC
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