License holder summary

WALLACH ILISA DAWN is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for WALLACH ILISA DAWN is MAMARONECK NY. This doctor license is current. The license was granted 10/06/1988 and expired on 04/30/2017.

New York

Office of the Professions

WALLACH ILISA DAWN
Medicine (Physician, Including M Ds & D Os)
License number
176452
Date granted
10/06/1988
Date expires
04/30/2017
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
MAMARONECK NY
nymedicine.org
ID 30305379
LAST UPDATED 2024-03-19 15:39:32 UTC

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