License holder summary

VILLAVICENCIO OLMEDO is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for VILLAVICENCIO OLMEDO is ANNANDALE VA. This doctor license is not current. The license was granted 05/18/1970.

New York

Office of the Professions

VILLAVICENCIO OLMEDO
Medicine (Physician, Including M Ds & D Os)
License number
105914
Date granted
05/18/1970
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
ANNANDALE VA
nymedicine.org
ID 30303350
LAST UPDATED 2024-04-15 18:27:12 UTC

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