HEROLD ABELLARD MD
Physician/surgeon


Address: 411 East 142nd St Apt #3, Bronx, NY 10454

HEROLD ABELLARD MD (Credential# 558485) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 27, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.

Business Overview

HEROLD ABELLARD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040902. The credential type is physician/surgeon. The effective date is April 27, 2004. The expiration date is February 28, 2005. The business address is 411 East 142nd St Apt #3, Bronx, NY 10454. The current status is inactive.

Basic Information

Licensee Name HEROLD ABELLARD MD
Credential ID 558485
Credential Number 1.040902
Credential Type Physician/Surgeon
Business Address 411 East 142nd St Apt #3
Bronx
NY 10454
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2002-10-17
Effective Date 2004-04-27
Expiration Date 2005-02-28
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
325134 CSP.0032895 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2003-03-01 - 2004-02-28 INACTIVE

Office Location

Street Address 411 EAST 142ND ST APT #3
City BRONX
State NY
Zip Code 10454

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City BRONX
Zip Code 10454
License Type Physician/Surgeon
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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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