MASAYUKI IIZUKA
Physician/surgeon


Address: 2-2-15 Motokitakata Ichikawa, Chiba, Japan, 2720816

MASAYUKI IIZUKA (Credential# 560200) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2012. The license expiration date date is March 31, 2013. The license status is INACTIVE.

Business Overview

MASAYUKI IIZUKA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042618. The credential type is physician/surgeon. The effective date is April 1, 2012. The expiration date is March 31, 2013. The business address is 2-2-15 Motokitakata Ichikawa, Chiba, Japan, 2720816. The current status is inactive.

Basic Information

Licensee Name MASAYUKI IIZUKA
Credential ID 560200
Credential Number 1.042618
Credential Type Physician/Surgeon
Business Address 2-2-15 Motokitakata Ichikawa
Chiba, Japan
2720816
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2004-07-02
Effective Date 2012-04-01
Expiration Date 2013-03-31
Refresh Date 2013-07-03

Office Location

Street Address 2-2-15 Motokitakata Ichikawa
City Chiba, JAPAN
Zip Code 2720816

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Competitor

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City Chiba, JAPAN
Zip Code 27208
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Chiba, JAPAN

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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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