IVAN G DILLER
Licensed Clinical Social Worker


Address: 1144 Lydig Ave Apt 2b, Bronx, NY 10461-1752

IVAN G DILLER (Credential# 888025) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2012. The license expiration date date is November 30, 2013. The license status is INACTIVE.

Business Overview

IVAN G DILLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.007119. The credential type is licensed clinical social worker. The effective date is December 1, 2012. The expiration date is November 30, 2013. The business address is 1144 Lydig Ave Apt 2b, Bronx, NY 10461-1752. The current status is inactive.

Basic Information

Licensee Name IVAN G DILLER
Credential ID 888025
Credential Number 58.007119
Credential Type Licensed Clinical Social Worker
Business Address 1144 Lydig Ave Apt 2b
Bronx
NY 10461-1752
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-08-25
Effective Date 2012-12-01
Expiration Date 2013-11-30
Refresh Date 2014-03-06

Office Location

Street Address 1144 LYDIG AVE APT 2B
City BRONX
State NY
Zip Code 10461-1752

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Competitor

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City BRONX
Zip Code 10461
License Type Licensed Clinical Social Worker
License Type + County Licensed Clinical Social Worker + BRONX

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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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