License holder summary

WALTUCK JONATHAN ASA is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for WALTUCK JONATHAN ASA is ATLANTA GA. This doctor license is not current. The license was granted 04/22/1988.

New York

Office of the Professions

WALTUCK JONATHAN ASA
Medicine (Physician, Including M Ds & D Os)
License number
174241
Date granted
04/22/1988
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
ATLANTA GA
nymedicine.org
ID 30305726
LAST UPDATED 2026-03-25 19:06:41 UTC

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