JULIE T ANTIQUE
Physician/surgeon


Address: 200 Carman Ave #28f, East Meadow, NY 11554

JULIE T ANTIQUE (Credential# 553796) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2000. The license expiration date date is July 31, 2001. The license status is INACTIVE.

Business Overview

JULIE T ANTIQUE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036204. The credential type is physician/surgeon. The effective date is August 1, 2000. The expiration date is July 31, 2001. The business address is 200 Carman Ave #28f, East Meadow, NY 11554. The current status is inactive.

Basic Information

Licensee Name JULIE T ANTIQUE
Credential ID 553796
Credential Number 1.036204
Credential Type Physician/Surgeon
Business Address 200 Carman Ave #28f
East Meadow
NY 11554
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-07-18
Effective Date 2000-08-01
Expiration Date 2001-07-31
Refresh Date 2009-07-08

Office Location

Street Address 200 CARMAN AVE #28F
City EAST MEADOW
State NY
Zip Code 11554

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Competitor

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City EAST MEADOW
Zip Code 11554
License Type Physician/Surgeon
License Type + County Physician/Surgeon + EAST MEADOW

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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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