ANDREW P ORDON MD FACS FICS
Physician/surgeon


Address: 465 N Roxbury Drive, Beverly Hills, CA 90210

ANDREW P ORDON MD FACS FICS (Credential# 546794) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2016. The license expiration date date is December 31, 2016. The license status is INACTIVE.

Business Overview

ANDREW P ORDON MD FACS FICS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.027821. The credential type is physician/surgeon. The effective date is January 1, 2016. The expiration date is December 31, 2016. The business address is 465 N Roxbury Drive, Beverly Hills, CA 90210. The current status is inactive.

Basic Information

Licensee Name ANDREW P ORDON MD FACS FICS
Credential ID 546794
Credential Number 1.027821
Credential Type Physician/Surgeon
Business Address 465 N Roxbury Drive
Beverly Hills
CA 90210
Business Type INDIVIDUAL
Status INACTIVE - PRIOR DISCIPLINE
Issue Date 1986-12-05
Effective Date 2016-01-01
Expiration Date 2016-12-31
Refresh Date 2018-10-16

Other licenses

ID Credential Code Credential Type Issue Term Status
160537 CSP.0017553 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2009-03-01 - 2011-02-28 INACTIVE

Office Location

Street Address 465 N Roxbury Drive
City Beverly Hills
State CA
Zip Code 90210

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City Beverly Hills
Zip Code 90210
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Beverly Hills

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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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