BOZENA M STRZALKOWSKA
Physician/surgeon


Address: 98 Fairview Ave, Port Washington, NY 11050

BOZENA M STRZALKOWSKA (Credential# 550347) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 20, 1994. The license expiration date date is June 30, 1995. The license status is INACTIVE.

Business Overview

BOZENA M STRZALKOWSKA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032747. The credential type is physician/surgeon. The effective date is April 20, 1994. The expiration date is June 30, 1995. The business address is 98 Fairview Ave, Port Washington, NY 11050. The current status is inactive.

Basic Information

Licensee Name BOZENA M STRZALKOWSKA
Credential ID 550347
Credential Number 1.032747
Credential Type Physician/Surgeon
Business Address 98 Fairview Ave
Port Washington
NY 11050
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-01-04
Effective Date 1994-04-20
Expiration Date 1995-06-30
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
157967 CSP.0020708 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1993-02-05 - 1995-02-01 INACTIVE

Office Location

Street Address 98 FAIRVIEW AVE
City PORT WASHINGTON
State NY
Zip Code 11050

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Competitor

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City PORT WASHINGTON
Zip Code 11050
License Type Physician/Surgeon
License Type + County Physician/Surgeon + PORT WASHINGTON

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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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