JOSIANE M FAUBLAS
Physician/surgeon


Address: 3803 Simms St, Hollywood, FL 33021

JOSIANE M FAUBLAS (Credential# 545845) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 15, 1996. The license expiration date date is November 30, 1997. The license status is INACTIVE.

Business Overview

JOSIANE M FAUBLAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026145. The credential type is physician/surgeon. The effective date is October 15, 1996. The expiration date is November 30, 1997. The business address is 3803 Simms St, Hollywood, FL 33021. The current status is inactive.

Basic Information

Licensee Name JOSIANE M FAUBLAS
Credential ID 545845
Credential Number 1.026145
Credential Type Physician/Surgeon
Business Address 3803 Simms St
Hollywood
FL 33021
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1985-02-15
Effective Date 1996-10-15
Expiration Date 1997-11-30
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
150397 CSP.0012930 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1994-08-05 - 1996-09-01 INACTIVE

Office Location

Street Address 3803 SIMMS ST
City HOLLYWOOD
State FL
Zip Code 33021

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City HOLLYWOOD
Zip Code 33021
License Type Physician/Surgeon
License Type + County Physician/Surgeon + HOLLYWOOD

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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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