MARK S. GORDON
Physician/surgeon


Address: 2 Longview Ave Ste 302, White Plains, NY 10601-5012

MARK S. GORDON (Credential# 932679) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2014. The license expiration date date is April 30, 2015. The license status is INACTIVE.

Business Overview

MARK S. GORDON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049265. The credential type is physician/surgeon. The effective date is May 1, 2014. The expiration date is April 30, 2015. The business address is 2 Longview Ave Ste 302, White Plains, NY 10601-5012. The current status is inactive.

Basic Information

Licensee Name MARK S. GORDON
Credential ID 932679
Credential Number 1.049265
Credential Type Physician/Surgeon
Business Address 2 Longview Ave Ste 302
White Plains
NY 10601-5012
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2010-10-04
Effective Date 2014-05-01
Expiration Date 2015-04-30
Refresh Date 2015-08-03

Office Location

Street Address 2 LONGVIEW AVE STE 302
City WHITE PLAINS
State NY
Zip Code 10601-5012

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Nicole M Vadhar 300 Matine Avenue, White Plains, NY 10601 Respiratory Care Practitioner 2019-01-01 ~ 2019-12-31
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Peter Jongho Na 55 N Broadway, 3-5, White Plains, NY 10601 Physician/surgeon 2020-06-03 ~ 2021-05-31
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Competitor

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City WHITE PLAINS
Zip Code 10601
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WHITE PLAINS

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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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