JULIAN LEVINE MD
Physician/surgeon


Address: 88 Ridge Park Ave, Stamford, CT 06905

JULIAN LEVINE MD (Credential# 538718) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 6, 1997. The license expiration date date is March 31, 1998. The license status is INACTIVE.

Business Overview

JULIAN LEVINE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.006731. The credential type is physician/surgeon. The effective date is January 6, 1997. The expiration date is March 31, 1998. The business address is 88 Ridge Park Ave, Stamford, CT 06905. The current status is inactive.

Basic Information

Licensee Name JULIAN LEVINE MD
Credential ID 538718
Credential Number 1.006731
Credential Type Physician/Surgeon
Business Address 88 Ridge Park Ave
Stamford
CT 06905
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1951-07-30
Effective Date 1997-01-06
Expiration Date 1998-03-31
Refresh Date 2009-07-10

Other licenses

ID Credential Code Credential Type Issue Term Status
149841 CSP.0002514 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1997-03-01 - 1998-02-28 INACTIVE

Office Location

Street Address 88 RIDGE PARK AVE
City STAMFORD
State CT
Zip Code 06905

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Competitor

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City STAMFORD
Zip Code 06905
License Type Physician/Surgeon
License Type + County Physician/Surgeon + STAMFORD

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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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