License holder summary

MANDEVILLE EDGAR O is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for MANDEVILLE EDGAR O is EAST ELMHURST NY. This doctor license is current. The license was granted 05/06/1970 and expired on 12/31/2016.

New York

Office of the Professions

MANDEVILLE EDGAR O
Medicine (Physician, Including M Ds & D Os)
License number
105872
Date granted
05/06/1970
Date expires
12/31/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
EAST ELMHURST NY
nymedicine.org
ID 30211989
LAST UPDATED 2024-04-23 15:12:52 UTC

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