DANIEL SUISSA
Physician/surgeon


Address: 9606 Bolton Rd, Los Angeles, CA 90034-1042

DANIEL SUISSA (Credential# 1273054) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 4, 2016. The license expiration date date is May 31, 2017. The license status is INACTIVE.

Business Overview

DANIEL SUISSA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055223. The credential type is physician/surgeon. The effective date is May 4, 2016. The expiration date is May 31, 2017. The business address is 9606 Bolton Rd, Los Angeles, CA 90034-1042. The current status is inactive.

Basic Information

Licensee Name DANIEL SUISSA
Credential ID 1273054
Credential Number 1.055223
Credential Type Physician/Surgeon
Business Address 9606 Bolton Rd
Los Angeles
CA 90034-1042
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2016-05-04
Effective Date 2016-05-04
Expiration Date 2017-05-31
Refresh Date 2017-09-03

Office Location

Street Address 9606 BOLTON RD
City LOS ANGELES
State CA
Zip Code 90034-1042

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City LOS ANGELES
Zip Code 90034
License Type Physician/Surgeon
License Type + County Physician/Surgeon + LOS ANGELES

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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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