License holder summary

VANDEWALL LAVERNE ROBERT is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for VANDEWALL LAVERNE ROBERT is WATERTOWN NY. This doctor license is current. The license was granted 09/06/1988 and expired on 12/31/2015.

New York

Office of the Professions

VANDEWALL LAVERNE ROBERT
Medicine (Physician, Including M Ds & D Os)
License number
176122
Date granted
09/06/1988
Date expires
12/31/2015
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
WATERTOWN NY
nymedicine.org
ID 30301598
LAST UPDATED 2024-05-08 08:58:17 UTC

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