CORAZON G TABLANG
Physician/surgeon


Address: 320 East 42 St, New York City, NY 10017

CORAZON G TABLANG (Credential# 555077) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2010. The license expiration date date is June 30, 2011. The license status is INACTIVE.

Business Overview

CORAZON G TABLANG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037487. The credential type is physician/surgeon. The effective date is July 1, 2010. The expiration date is June 30, 2011. The business address is 320 East 42 St, New York City, NY 10017. The current status is inactive.

Basic Information

Licensee Name CORAZON G TABLANG
Credential ID 555077
Credential Number 1.037487
Credential Type Physician/Surgeon
Business Address 320 East 42 St
New York City
NY 10017
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-01-22
Effective Date 2010-07-01
Expiration Date 2011-06-30
Refresh Date 2011-10-03

Office Location

Street Address 320 East 42 St
City New York City
State NY
Zip Code 10017

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Competitor

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City New York City
Zip Code 10017
License Type Physician/Surgeon
License Type + County Physician/Surgeon + New York City

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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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