EDWIN V TAN (Credential# 552375) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 26, 1996. The license expiration date date is February 28, 1997. The license status is INACTIVE.
EDWIN V TAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034779. The credential type is physician/surgeon. The effective date is February 26, 1996. The expiration date is February 28, 1997. The business address is 720 West 170th St, New York, NY 10032. The current status is inactive.
Licensee Name | EDWIN V TAN |
Credential ID | 552375 |
Credential Number | 1.034779 |
Credential Type | Physician/Surgeon |
Business Address |
720 West 170th St New York NY 10032 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1995-08-04 |
Effective Date | 1996-02-26 |
Expiration Date | 1997-02-28 |
Refresh Date | 2009-07-08 |
Street Address | 720 WEST 170TH ST |
City | NEW YORK |
State | NY |
Zip Code | 10032 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rebecca H C Yeh | 835 Riverside Drive, New York, NY 10032 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
Olga M Brown | 621 W 169 Street, New York City, NY 10032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
J Howard Williams | 835 Riverside Dr Apt #1-d, New York, NY 10032 | Landscape Architect | 2018-08-01 ~ 2019-07-31 |
Andrea M Powell | 552 West 165th St., New York, NY 10032 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Mitchell S Elkind | 710 W. 168th Street, New York, NY 10032 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Emily Chug | 100 Haven Ave, New York, NY 10032 | Physical Therapist | ~ |
Rainer N Mittl | 635 West 165th Street, New York, NY 10032 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Tristan Timothy Sands | 180 Fort Washington Ave, 5th Floor, New York, NY 10032 | Physician/surgeon | ~ |
Thread Connects, Inc. · Thread | 611 W 163rd St, New York, NY 10032 | Public Charity | 2020-03-24 ~ 2020-11-30 |
Mitchell Wade Dillon | 565 West 169th Street, New York, NY 10032 | Genetic Counselor | 2020-06-01 ~ 2021-05-31 |
Find all Licenses in zip 10032 |
City | NEW YORK |
Zip Code | 10032 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW YORK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Edwin Raffi | 339 Massachusetts Ave, Arlington, MA 02474-6718 | Physician/surgeon | ~ |
Edwin Oh | 241 Hamilton Ave, Greenwich, CT 06830 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Edwin D Lacuanan | 3 Demartino Ave, Yonkers, NY 10703 | Physician/surgeon | 1996-08-05 ~ 1997-07-31 |
Edwin W Lojeski Do | 310 Dakota Rd, Hailey, ID 83333 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Edwin D Williamson Md | 88 Cottage St Apt 1, New Haven, CT 06511-2404 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
Edwin A Spath Jr | 859 Prospect Ave, W Hartford, CT 06105-4229 | Physician/surgeon | 2013-06-01 ~ 2014-05-31 |
Edwin Dominguez | 1729 Haight Ave, Bronx, NY 10461-1401 | Physician/surgeon | 2019-12-02 ~ 2020-12-31 |
Edwin Urbi Md | 392 State St #13-e, North Haven, CT 06473 | Physician/surgeon | 1998-01-09 ~ 1999-02-28 |
Edwin F Trautman | 5367 Main St, Trumbull, CT 06611 | Physician/surgeon | 1992-02-24 ~ 1993-01-31 |
Edwin L Naamon Jr. | 128 Fort Washington Ave, New York, NY 10032-4721 | Physician/surgeon | 1986-05-22 ~ 1987-12-31 |
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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).