ELLIOT J FAVUS MD
Physician/surgeon


Address: 94 Third Avenue Apt 3r, New York, NY 10003

ELLIOT J FAVUS MD (Credential# 561181) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2005. The license expiration date date is July 31, 2006. The license status is INACTIVE.

Business Overview

ELLIOT J FAVUS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043599. The credential type is physician/surgeon. The effective date is July 1, 2005. The expiration date is July 31, 2006. The business address is 94 Third Avenue Apt 3r, New York, NY 10003. The current status is inactive.

Basic Information

Licensee Name ELLIOT J FAVUS MD
Credential ID 561181
Credential Number 1.043599
Credential Type Physician/Surgeon
Business Address 94 Third Avenue Apt 3r
New York
NY 10003
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-07-01
Effective Date 2005-07-01
Expiration Date 2006-07-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
401890 CSP.0037318 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-07-12 2005-07-12 - 2006-02-28 INACTIVE

Office Location

Street Address 94 THIRD AVENUE APT 3R
City NEW YORK
State NY
Zip Code 10003

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City NEW YORK
Zip Code 10003
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW YORK

Similar businesses

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A John Elliot 45 East Avenue, Westerly, RI 02891 Physician/surgeon 1994-04-20 ~ 1995-04-30
Elliot M Michel 102 Fawn Meadow Ct, Pittsburgh, PA 15238 Physician/surgeon 1996-11-01 ~ 1997-12-31
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Elliot W Strong 425 East 67th St, New York, NY 10021 Physician/surgeon 1995-06-19 ~ 1996-08-31
Elliot Sternthal Joslin Diabetes Ctr, Boston, MA 02215 Physician/surgeon 1993-08-25 ~ 1994-08-31
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Elliot I Schwartz 3607 Quentin Road, Brooklyn, NY 11234 Physician/surgeon 2004-11-15 ~ 2006-01-31
Elliot R Goodman 3671 Hudson Manor, Bronx, NY 10463 Physician/surgeon 1997-04-01 ~ 1998-03-31

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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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