License holder summary

PREWITT PROVISO V is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for PREWITT PROVISO V is JACKSON HEIGHTS NY. This doctor license is not current. The license was granted 07/02/1920.

New York

Office of the Professions

PREWITT PROVISO V
Medicine (Physician, Including M Ds & D Os)
License number
015624
Date granted
07/02/1920
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
JACKSON HEIGHTS NY
nymedicine.org
ID 30248853
LAST UPDATED 2024-04-09 11:12:24 UTC

This website is unaffiliated with the Office of the Professions. Please verify all information directly with the relevant official government authority.

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