SAMRAT WORAH
Physician/surgeon


Address: 11 Riverside Dr, New York, NY 10023

SAMRAT WORAH (Credential# 560575) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 2, 2009. The license expiration date date is July 31, 2010. The license status is INACTIVE.

Business Overview

SAMRAT WORAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042993. The credential type is physician/surgeon. The effective date is July 2, 2009. The expiration date is July 31, 2010. The business address is 11 Riverside Dr, New York, NY 10023. The current status is inactive.

Basic Information

Licensee Name SAMRAT WORAH
Credential ID 560575
Credential Number 1.042993
Credential Type Physician/Surgeon
Business Address 11 Riverside Dr
New York
NY 10023
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2004-12-13
Effective Date 2009-07-02
Expiration Date 2010-07-31
Refresh Date 2010-11-02

Office Location

Street Address 11 RIVERSIDE DR
City New York
State NY
Zip Code 10023

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City New York
Zip Code 10023
License Type Physician/Surgeon
License Type + County Physician/Surgeon + New York

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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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