License holder summary

PAYNE-BLACKMAN SHAKIRA LATISHA J is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for PAYNE-BLACKMAN SHAKIRA LATISHA J is LAKE WORTH FL. This doctor license is not current. The license was granted 12/24/2010.

New York

Office of the Professions

PAYNE-BLACKMAN SHAKIRA LATISHA J
Medicine (Physician, Including M Ds & D Os)
License number
259776
Date granted
12/24/2010
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
LAKE WORTH FL
nymedicine.org
ID 30242133
LAST UPDATED 2024-04-02 09:17:29 UTC

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