JEFFREY M ROTH OD
Optometrist


Address: 725 Erie Boulevard West, Syracuse, NY 13204

JEFFREY M ROTH OD (Credential# 763312) is licensed (Optometrist) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2010. The license expiration date date is March 31, 2011. The license status is INACTIVE.

Business Overview

JEFFREY M ROTH OD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #3.002684. The credential type is optometrist. The effective date is April 1, 2010. The expiration date is March 31, 2011. The business address is 725 Erie Boulevard West, Syracuse, NY 13204. The current status is inactive.

Basic Information

Licensee Name JEFFREY M ROTH OD
Credential ID 763312
Credential Number 3.002684
Credential Type Optometrist
Business Address 725 Erie Boulevard West
Syracuse
NY 13204
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-12-09
Effective Date 2010-04-01
Expiration Date 2011-03-31
Refresh Date 2011-07-01

Other licenses

ID Credential Code Credential Type Issue Term Status
425830 CSP.0038693 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-01-24 2009-03-01 - 2011-02-28 INACTIVE

Office Location

Street Address 725 ERIE BOULEVARD WEST
City SYRACUSE
State NY
Zip Code 13204

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Competitor

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City SYRACUSE
Zip Code 13204
License Type Optometrist
License Type + County Optometrist + SYRACUSE

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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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