ALICE S TANNENBAUM
Physician/surgeon


Address: 338 West 72nd Street, New York, NY 10023

ALICE S TANNENBAUM (Credential# 551709) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2009. The license expiration date date is September 30, 2010. The license status is INACTIVE.

Business Overview

ALICE S TANNENBAUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034110. The credential type is physician/surgeon. The effective date is October 1, 2009. The expiration date is September 30, 2010. The business address is 338 West 72nd Street, New York, NY 10023. The current status is inactive.

Basic Information

Licensee Name ALICE S TANNENBAUM
Credential ID 551709
Credential Number 1.034110
Credential Type Physician/Surgeon
Business Address 338 West 72nd Street
New York
NY 10023
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1994-10-14
Effective Date 2009-10-01
Expiration Date 2010-09-30
Refresh Date 2011-01-04

Office Location

Street Address 338 West 72nd Street
City New York
State NY
Zip Code 10023

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City New York
Zip Code 10023
License Type Physician/Surgeon
License Type + County Physician/Surgeon + New York

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Jeffrey P Tannenbaum 1144 Williams St, Longmeadow, MA 01106 Physician/surgeon 1996-03-11 ~ 1997-03-31
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Alice M Kim 259 First St, Mineola, NY 11501 Physician/surgeon 2019-07-01 ~ 2020-06-30
Alice Donna Kim 29 E 7th St Apt 4w, New York, NY 10003-8021 Physician/surgeon 2020-03-01 ~ 2021-02-28
Alice A Grabowski 6 Germantown Rd, Danbury, CT 06810-5027 Physician/surgeon 2018-09-01 ~ 2019-08-31
Alice Y Guh 1021 Asylum Ave, Hartford, CT 06105 Physician/surgeon 2008-08-19 ~ 2009-10-31
Alice D Michtom Md 25 Reservoir St, Bethel, CT 06801 Physician/surgeon 1996-03-20 ~ 1997-03-31
Alice Obuobi 10s 646 Lilac Lane, Hinsdale, IL 60521 Physician/surgeon 2001-09-10 ~ 2002-08-31
Alice E Madwed 110 Wedgewood Drive, Easton, CT 06612 Physician/surgeon 2016-04-01 ~ 2017-03-31
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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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