ERIC J SIGLER
Physician/surgeon


Address: 21a Cedar Dr, Massapequa, NY 11758-6751

ERIC J SIGLER (Credential# 1000687) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2013. The license expiration date date is April 30, 2014. The license status is INACTIVE.

Business Overview

ERIC J SIGLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049986. The credential type is physician/surgeon. The effective date is May 1, 2013. The expiration date is April 30, 2014. The business address is 21a Cedar Dr, Massapequa, NY 11758-6751. The current status is inactive.

Basic Information

Licensee Name ERIC J SIGLER
Credential ID 1000687
Credential Number 1.049986
Credential Type Physician/Surgeon
Business Address 21a Cedar Dr
Massapequa
NY 11758-6751
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-06-17
Effective Date 2013-05-01
Expiration Date 2014-04-30
Refresh Date 2014-08-03

Other licenses

ID Credential Code Credential Type Issue Term Status
511440 CSP.0044372 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-09-30 2011-03-01 - 2013-02-28 INACTIVE

Office Location

Street Address 21A CEDAR DR
City MASSAPEQUA
State NY
Zip Code 11758-6751

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City MASSAPEQUA
Zip Code 11758
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MASSAPEQUA

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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