BRUCE SANDEROV
Physician/surgeon


Address: 91 Teed, Huntington Station, NY 11746

BRUCE SANDEROV (Credential# 546398) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 3, 2000. The license expiration date date is October 31, 2001. The license status is INACTIVE.

Business Overview

BRUCE SANDEROV is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.027149. The credential type is physician/surgeon. The effective date is October 3, 2000. The expiration date is October 31, 2001. The business address is 91 Teed, Huntington Station, NY 11746. The current status is inactive.

Basic Information

Licensee Name BRUCE SANDEROV
Credential ID 546398
Credential Number 1.027149
Credential Type Physician/Surgeon
Business Address 91 Teed
Huntington Station
NY 11746
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1986-04-09
Effective Date 2000-10-03
Expiration Date 2001-10-31
Refresh Date 2009-07-08

Office Location

Street Address 91 Teed
City Huntington Station
State NY
Zip Code 11746

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Bahar Zoghi- Moghadam 12 Maryland Street, Dix Hills, NY 11746 Professional Engineer 2020-02-01 ~ 2021-01-31
Antigone D Manaris 21 Majestic Drive, Dix Hills, NY 11746 Pharmacist 2020-02-01 ~ 2022-01-31
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Competitor

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City Huntington Station
Zip Code 11746
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Huntington Station

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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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