CHRISTINA BORTZ
Physician/surgeon


Address: 506 6th St, Brooklyn, NY 11215-3609

CHRISTINA BORTZ (Credential# 1489674) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2018. The license expiration date date is May 31, 2019. The license status is INACTIVE.

Business Overview

CHRISTINA BORTZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060477. The credential type is physician/surgeon. The effective date is May 1, 2018. The expiration date is May 31, 2019. The business address is 506 6th St, Brooklyn, NY 11215-3609. The current status is inactive.

Basic Information

Licensee Name CHRISTINA BORTZ
Credential ID 1489674
Credential Number 1.060477
Credential Type Physician/Surgeon
Business Address 506 6th St
Brooklyn
NY 11215-3609
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2018-05-01
Effective Date 2018-05-01
Expiration Date 2019-05-31
Refresh Date 2019-09-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1510818 CSP.0067938 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2018-05-03 2018-05-03 - 2019-02-28 LAPSED

Office Location

Street Address 506 6TH ST
City BROOKLYN
State NY
Zip Code 11215-3609

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Competitor

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City BROOKLYN
Zip Code 11215
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BROOKLYN

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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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