BRUCE CHAMPAGNE
Physician/surgeon


Address: 330 E 38th St, New York, NY 10016

BRUCE CHAMPAGNE (Credential# 548733) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 16, 1998. The license expiration date date is April 30, 1999. The license status is INACTIVE.

Business Overview

BRUCE CHAMPAGNE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030837. The credential type is physician/surgeon. The effective date is April 16, 1998. The expiration date is April 30, 1999. The business address is 330 E 38th St, New York, NY 10016. The current status is inactive.

Basic Information

Licensee Name BRUCE CHAMPAGNE
Credential ID 548733
Credential Number 1.030837
Credential Type Physician/Surgeon
Business Address 330 E 38th St
New York
NY 10016
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1990-06-08
Effective Date 1998-04-16
Expiration Date 1999-04-30
Refresh Date 2009-07-08

Office Location

Street Address 330 E 38TH ST
City NEW YORK
State NY
Zip Code 10016

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City NEW YORK
Zip Code 10016
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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