ROBERT P DEVITA
Physician/surgeon


Address: 176 East 77th Street, New York, NY 11021

ROBERT P DEVITA (Credential# 548169) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 5, 1997. The license expiration date date is March 31, 1998. The license status is INACTIVE.

Business Overview

ROBERT P DEVITA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030016. The credential type is physician/surgeon. The effective date is March 5, 1997. The expiration date is March 31, 1998. The business address is 176 East 77th Street, New York, NY 11021. The current status is inactive.

Basic Information

Licensee Name ROBERT P DEVITA
Credential ID 548169
Credential Number 1.030016
Credential Type Physician/Surgeon
Business Address 176 East 77th Street
New York
NY 11021
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1989-06-09
Effective Date 1997-03-05
Expiration Date 1998-03-31
Refresh Date 2009-07-08

Office Location

Street Address 176 EAST 77TH STREET
City NEW YORK
State NY
Zip Code 11021

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City NEW YORK
Zip Code 11021
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW YORK

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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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