New York
Office of the Professions
KOLO THEO SLAN
Medicine (Physician, Including M Ds & D Os)
License number
128215
Date granted
08/27/1976
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
CENTERPORT NY
nymedicine.org
ID 30191282
LAST UPDATED 2026-03-20 23:09:03 UTC
LAST UPDATED 2026-03-20 23:09:03 UTC
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