License holder summary

REVOLLO JAIME M is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for REVOLLO JAIME M is N TONAWANDA NY. This doctor license is not current. The license was granted 06/20/1975.

New York

Office of the Professions

REVOLLO JAIME M
Medicine (Physician, Including M Ds & D Os)
License number
124264
Date granted
06/20/1975
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
N TONAWANDA NY
nymedicine.org
ID 30255783
LAST UPDATED 2021-09-14 10:11:03 UTC

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