License holder summary

SUPON ANNA MARIE is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for SUPON ANNA MARIE is VESTAL NY. This doctor license is current. The license was granted 09/01/1992 and expired on 06/30/2016.

New York

Office of the Professions

SUPON ANNA MARIE
Medicine (Physician, Including M Ds & D Os)
License number
190227
Date granted
09/01/1992
Date expires
06/30/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
VESTAL NY
nymedicine.org
ID 30291365
LAST UPDATED 2024-01-30 04:30:15 UTC

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