MITCHELL WOLFSON
Physician/surgeon


Address: 20 Hill Park Ave., Apt. 3g, Great Neck, NY 11021

MITCHELL WOLFSON (Credential# 565198) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2013. The license expiration date date is July 31, 2014. The license status is INACTIVE.

Business Overview

MITCHELL WOLFSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047616. The credential type is physician/surgeon. The effective date is August 1, 2013. The expiration date is July 31, 2014. The business address is 20 Hill Park Ave., Apt. 3g, Great Neck, NY 11021. The current status is inactive.

Basic Information

Licensee Name MITCHELL WOLFSON
Credential ID 565198
Credential Number 1.047616
Credential Type Physician/Surgeon
Business Address 20 Hill Park Ave., Apt. 3g
Great Neck
NY 11021
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-04-23
Effective Date 2013-08-01
Expiration Date 2014-07-31
Refresh Date 2014-11-03

Office Location

Street Address 20 Hill Park Ave., Apt. 3G
City Great Neck
State NY
Zip Code 11021

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City Great Neck
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License Type Physician/Surgeon
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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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