EVAN P COHEN
Physician/surgeon


Address: 215 E 24th St Apt 110, New York, NY 10010-3808

EVAN P COHEN (Credential# 1001480) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 27, 2011. The license expiration date date is July 31, 2012. The license status is INACTIVE.

Business Overview

EVAN P COHEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050164. The credential type is physician/surgeon. The effective date is July 27, 2011. The expiration date is July 31, 2012. The business address is 215 E 24th St Apt 110, New York, NY 10010-3808. The current status is inactive.

Basic Information

Licensee Name EVAN P COHEN
Credential ID 1001480
Credential Number 1.050164
Credential Type Physician/Surgeon
Business Address 215 E 24th St Apt 110
New York
NY 10010-3808
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-07-27
Effective Date 2011-07-27
Expiration Date 2012-07-31
Refresh Date 2012-11-02

Office Location

Street Address 215 E 24TH ST APT 110
City NEW YORK
State NY
Zip Code 10010-3808

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City NEW YORK
Zip Code 10010
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW YORK

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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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