New York
Office of the Professions
SHER MOS
Medicine (Physician, Including M Ds & D Os)
License number
179802
Date granted
09/07/1989
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
MILWAUKEE WI
nymedicine.org
ID 30277351
LAST UPDATED 2026-05-17 12:10:57 UTC
LAST UPDATED 2026-05-17 12:10:57 UTC
This website is unaffiliated with the Office of the Professions. Please verify all information directly with the relevant official government authority.