License holder summary

SAINT LOUIS IMMACULA is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for SAINT LOUIS IMMACULA is QUEENS VILLAGE NY. This doctor license is not current. The license was granted 08/15/1996.

New York

Office of the Professions

SAINT LOUIS IMMACULA
Medicine (Physician, Including M Ds & D Os)
License number
204244
Date granted
08/15/1996
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
QUEENS VILLAGE NY
nymedicine.org
ID 30265423
LAST UPDATED 2024-03-25 07:33:24 UTC

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