License holder summary

WALLER MICHAEL LEE is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for WALLER MICHAEL LEE is NORWALK CT. This doctor license is not current. The license was granted 08/08/1995.

New York

Office of the Professions

WALLER MICHAEL LEE
Medicine (Physician, Including M Ds & D Os)
License number
200401
Date granted
08/08/1995
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
NORWALK CT
nymedicine.org
ID 30305436
LAST UPDATED 2024-03-08 18:43:42 UTC

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