JOHN M WAT
Physician/surgeon


Address: 140-37 Cherry Avenue, Flushing, NY 11355

JOHN M WAT (Credential# 993922) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2012. The license expiration date date is April 30, 2013. The license status is INACTIVE.

Business Overview

JOHN M WAT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049989-DO. The credential type is physician/surgeon. The effective date is May 1, 2012. The expiration date is April 30, 2013. The business address is 140-37 Cherry Avenue, Flushing, NY 11355. The current status is inactive.

Basic Information

Licensee Name JOHN M WAT
Credential ID 993922
Credential Number 1.049989-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 140-37 Cherry Avenue
Flushing
NY 11355
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-06-20
Effective Date 2012-05-01
Expiration Date 2013-04-30
Refresh Date 2013-08-05

Other licenses

ID Credential Code Credential Type Issue Term Status
999705 CSP.0050238 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-06-27 2011-06-27 - 2013-02-28 INACTIVE

Office Location

Street Address 140-37 CHERRY AVENUE
City FLUSHING
State NY
Zip Code 11355

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City FLUSHING
Zip Code 11355
License Type Physician/Surgeon
License Type + County Physician/Surgeon + FLUSHING

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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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