ATIBADE A ADELADAN
Physician/surgeon


Address: 2300 5th Avenue, New York, NY 10037

ATIBADE A ADELADAN (Credential# 563377) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 21, 2007. The license expiration date date is January 31, 2008. The license status is INACTIVE.

Business Overview

ATIBADE A ADELADAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045795. The credential type is physician/surgeon. The effective date is August 21, 2007. The expiration date is January 31, 2008. The business address is 2300 5th Avenue, New York, NY 10037. The current status is inactive.

Basic Information

Licensee Name ATIBADE A ADELADAN
Credential ID 563377
Credential Number 1.045795
Credential Type Physician/Surgeon
Business Address 2300 5th Avenue
New York
NY 10037
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2007-08-21
Effective Date 2007-08-21
Expiration Date 2008-01-31
Refresh Date 2009-07-08

Office Location

Street Address 2300 5th Avenue
City New York
State NY
Zip Code 10037

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Competitor

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City New York
Zip Code 10037
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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