EDWIN D LACUANAN
Physician/surgeon


Address: 3 Demartino Ave, Yonkers, NY 10703

EDWIN D LACUANAN (Credential# 545311) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 5, 1996. The license expiration date date is July 31, 1997. The license status is INACTIVE.

Business Overview

EDWIN D LACUANAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025079. The credential type is physician/surgeon. The effective date is August 5, 1996. The expiration date is July 31, 1997. The business address is 3 Demartino Ave, Yonkers, NY 10703. The current status is inactive.

Basic Information

Licensee Name EDWIN D LACUANAN
Credential ID 545311
Credential Number 1.025079
Credential Type Physician/Surgeon
Business Address 3 Demartino Ave
Yonkers
NY 10703
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1984-02-16
Effective Date 1996-08-05
Expiration Date 1997-07-31
Refresh Date 2009-07-08

Office Location

Street Address 3 DEMARTINO AVE
City YONKERS
State NY
Zip Code 10703

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City YONKERS
Zip Code 10703
License Type Physician/Surgeon
License Type + County Physician/Surgeon + YONKERS

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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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