PETTIT MALCOLM WALLACE JR
Medicine (Physician, Including M Ds & D Os)
New York 096947 Not Registered
This New York license was held by PETTIT MALCOLM WALLACE JR. The license is no longer active. It was granted on 07/12/1966
LICENSE DETAILS
- License Number: 096947
- Category: Medicine (physician, including MDs & DOs)
- Status: Not Registered
- Date Granted: 07/12/1966 (almost 58 years ago)
LOCATIONS
A Address
WEST ISLIP NY