NADIA BASHOUR BUNN
Dentist


Address: 145 West 71st #phc, New York, NY 10023

NADIA BASHOUR BUNN (Credential# 703538) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is June 4, 2003. The license expiration date date is July 31, 2004. The license status is INACTIVE.

Business Overview

NADIA BASHOUR BUNN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.009086. The credential type is dentist. The effective date is June 4, 2003. The expiration date is July 31, 2004. The business address is 145 West 71st #phc, New York, NY 10023. The current status is inactive.

Basic Information

Licensee Name NADIA BASHOUR BUNN
Credential ID 703538
Credential Number 2.009086
Credential Type Dentist
Business Address 145 West 71st #phc
New York
NY 10023
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2002-09-30
Effective Date 2003-06-04
Expiration Date 2004-07-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
322369 CSP.0032863 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2003-03-01 - 2004-02-28 INACTIVE

Office Location

Street Address 145 WEST 71ST #PHC
City NEW YORK
State NY
Zip Code 10023

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City NEW YORK
Zip Code 10023
License Type Dentist
License Type + County Dentist + 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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