MATTHEW T EDEL
Physician/surgeon


Address: 45-50 Pearson Street, Long Island City, NY 11101

MATTHEW T EDEL (Credential# 1231888) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 15, 2014. The license expiration date date is May 31, 2015. The license status is INACTIVE.

Business Overview

MATTHEW T EDEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053607-DO. The credential type is physician/surgeon. The effective date is October 15, 2014. The expiration date is May 31, 2015. The business address is 45-50 Pearson Street, Long Island City, NY 11101. The current status is inactive.

Basic Information

Licensee Name MATTHEW T EDEL
Credential ID 1231888
Credential Number 1.053607-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 45-50 Pearson Street
Long Island City
NY 11101
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2014-10-15
Effective Date 2014-10-15
Expiration Date 2015-05-31
Refresh Date 2015-09-03

Office Location

Street Address 45-50 Pearson Street
City Long Island City
State NY
Zip Code 11101

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City Long Island City
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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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