License holder summary

REVENIS MARY ELLEN V is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for REVENIS MARY ELLEN V is CHEVY CHASE MD. This doctor license is not current. The license was granted 12/10/1982.

New York

Office of the Professions

REVENIS MARY ELLEN V
Medicine (Physician, Including M Ds & D Os)
License number
152736
Date granted
12/10/1982
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
CHEVY CHASE MD
nymedicine.org
ID 30255773
LAST UPDATED 2021-09-29 05:07:16 UTC

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