LEV YUSUPOV
Dentist


Address: 16807 81st Ave, Jamaica, NY 11432-1319

LEV YUSUPOV (Credential# 1228529) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2014. The license expiration date date is June 30, 2015. The license status is INACTIVE.

Business Overview

LEV YUSUPOV is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.011202. The credential type is dentist. The effective date is July 1, 2014. The expiration date is June 30, 2015. The business address is 16807 81st Ave, Jamaica, NY 11432-1319. The current status is inactive.

Basic Information

Licensee Name LEV YUSUPOV
Credential ID 1228529
Credential Number 2.011202
Credential Type Dentist
Business Address 16807 81st Ave
Jamaica
NY 11432-1319
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2014-07-01
Effective Date 2014-07-01
Expiration Date 2015-06-30
Refresh Date 2015-10-08

Office Location

Street Address 16807 81ST AVE
City JAMAICA
State NY
Zip Code 11432-1319

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Rajcoomar Autar 165-14 Chapin Parkway, Jamaica, NY 11432 Professional Engineer 2020-02-01 ~ 2021-01-31
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Elina Yakubov 181-18 Kildare Rd, Jamaica, NY 11432 Pharmacist 2020-02-01 ~ 2022-01-31
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Competitor

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City JAMAICA
Zip Code 11432
License Type Dentist
License Type + County Dentist + JAMAICA

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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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