License holder summary

PETTIT MALCOLM WALLACE JR is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for PETTIT MALCOLM WALLACE JR is WEST ISLIP NY. This doctor license is not current. The license was granted 07/12/1966.

New York

Office of the Professions

PETTIT MALCOLM WALLACE JR
Medicine (Physician, Including M Ds & D Os)
License number
096947
Date granted
07/12/1966
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
WEST ISLIP NY
nymedicine.org
ID 30244477
LAST UPDATED 2024-03-05 10:17:16 UTC

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