License holder summary

TAN VIRAK is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for TAN VIRAK is SUMMIT NJ. This doctor license is not current. The license was granted 12/28/1999.

New York

Office of the Professions

TAN VIRAK
Medicine (Physician, Including M Ds & D Os)
License number
216513
Date granted
12/28/1999
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
SUMMIT NJ
nymedicine.org
ID 30293297
LAST UPDATED 2024-05-12 10:53:26 UTC

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