LON ALLEN SPROLES
Physician/surgeon


Address: 175 West 12th Street, New York, NY 10010

LON ALLEN SPROLES (Credential# 1426309) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 31, 2017. The license expiration date date is January 31, 2018. The license status is INACTIVE.

Business Overview

LON ALLEN SPROLES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056773. The credential type is physician/surgeon. The effective date is July 31, 2017. The expiration date is January 31, 2018. The business address is 175 West 12th Street, New York, NY 10010. The current status is inactive.

Basic Information

Licensee Name LON ALLEN SPROLES
Credential ID 1426309
Credential Number 1.056773
Credential Type Physician/Surgeon
Business Address 175 West 12th Street
New York
NY 10010
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2017-07-31
Effective Date 2017-07-31
Expiration Date 2018-01-31
Refresh Date 2018-05-06

Office Location

Street Address 175 West 12th Street
City New York
State NY
Zip Code 10010

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Wayde L Binder 175 West 12th Street, New York, NY 10011 Registered Nurse 1996-09-12 ~ 1997-09-30

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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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