License holder summary

MOISA IDEL I is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for MOISA IDEL I is GLEN COVE NY. This doctor license is current. The license was granted 02/04/1985 and expired on 08/31/2016.

New York

Office of the Professions

MOISA IDEL I
Medicine (Physician, Including M Ds & D Os)
License number
161323
Date granted
02/04/1985
Date expires
08/31/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
GLEN COVE NY
nymedicine.org
ID 30224417
LAST UPDATED 2024-03-16 22:41:03 UTC

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