EWA I KOZIORYNSKA
Physician/surgeon


Address: 100 Montgomery St., Jersey City, NJ 07302

EWA I KOZIORYNSKA (Credential# 559612) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2011. The license expiration date date is December 31, 2011. The license status is INACTIVE.

Business Overview

EWA I KOZIORYNSKA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042030. The credential type is physician/surgeon. The effective date is January 1, 2011. The expiration date is December 31, 2011. The business address is 100 Montgomery St., Jersey City, NJ 07302. The current status is inactive.

Basic Information

Licensee Name EWA I KOZIORYNSKA
Credential ID 559612
Credential Number 1.042030
Credential Type Physician/Surgeon
Business Address 100 Montgomery St.
Jersey City
NJ 07302
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-12-01
Effective Date 2011-01-01
Expiration Date 2011-12-31
Refresh Date 2012-04-03

Other licenses

ID Credential Code Credential Type Issue Term Status
412449 CSP.0037909 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-08-05 2006-03-01 - 2007-02-28 INACTIVE

Office Location

Street Address 100 Montgomery St.
City Jersey City
State NJ
Zip Code 07302

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Competitor

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City Jersey City
Zip Code 07302
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Jersey 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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