AGNIESZKA SWIATECKA-URBAN
Physician/surgeon


Address: 3636 Waldo Avenue 6-m, Riverdale, NY 10463

AGNIESZKA SWIATECKA-URBAN (Credential# 554830) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 18, 2000. The license expiration date date is July 31, 2001. The license status is INACTIVE.

Business Overview

AGNIESZKA SWIATECKA-URBAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037240. The credential type is physician/surgeon. The effective date is July 18, 2000. The expiration date is July 31, 2001. The business address is 3636 Waldo Avenue 6-m, Riverdale, NY 10463. The current status is inactive.

Basic Information

Licensee Name AGNIESZKA SWIATECKA-URBAN
Credential ID 554830
Credential Number 1.037240
Credential Type Physician/Surgeon
Business Address 3636 Waldo Avenue 6-m
Riverdale
NY 10463
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-09-18
Effective Date 2000-07-18
Expiration Date 2001-07-31
Refresh Date 2009-07-08

Office Location

Street Address 3636 WALDO AVENUE 6-M
City RIVERDALE
State NY
Zip Code 10463

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Competitor

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City RIVERDALE
Zip Code 10463
License Type Physician/Surgeon
License Type + County Physician/Surgeon + RIVERDALE

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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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