License holder summary

KNISELY JONATHAN PETRUS SANDBERG is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for KNISELY JONATHAN PETRUS SANDBERG is LAKE SUCCESS NY. This doctor license is current. The license was granted 02/08/2011 and expired on 07/31/2016.

New York

Office of the Professions

KNISELY JONATHAN PETRUS SANDBERG
Medicine (Physician, Including M Ds & D Os)
License number
260340
Date granted
02/08/2011
Date expires
07/31/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
LAKE SUCCESS NY
nymedicine.org
ID 30190453
LAST UPDATED 2024-04-02 12:31:58 UTC

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