License holder summary

REDVANLY RICHARD JACK is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for REDVANLY RICHARD JACK is PATCHOGUE NY. This doctor license is not current. The license was granted 09/03/1957.

New York

Office of the Professions

REDVANLY RICHARD JACK
Medicine (Physician, Including M Ds & D Os)
License number
079718
Date granted
09/03/1957
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
PATCHOGUE NY
nymedicine.org
ID 30254360
LAST UPDATED 2026-07-31 07:33:45 UTC

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