EREZ VIDAN
Physician/surgeon


Address: 7 Stony Run Rd, Great Neck, NY 11023-1923

EREZ VIDAN (Credential# 903013) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 7, 2009. The license expiration date date is October 31, 2011. The license status is PENDING.

Business Overview

EREZ VIDAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048295. The credential type is physician/surgeon. The effective date is December 7, 2009. The expiration date is October 31, 2011. The business address is 7 Stony Run Rd, Great Neck, NY 11023-1923. The current status is pending.

Basic Information

Licensee Name EREZ VIDAN
Credential ID 903013
Credential Number 1.048295
Credential Type Physician/Surgeon
Business Address 7 Stony Run Rd
Great Neck
NY 11023-1923
Business Type INDIVIDUAL
Status PENDING - REINSTATEMENT PENDING
Issue Date 2009-12-07
Effective Date 2009-12-07
Expiration Date 2011-10-31
Refresh Date 2020-05-26

Office Location

Street Address 7 STONY RUN RD
City GREAT NECK
State NY
Zip Code 11023-1923

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Competitor

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City GREAT NECK
Zip Code 11023
License Type Physician/Surgeon
License Type + County Physician/Surgeon + GREAT NECK

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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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