JONATHAN MOGEN
Physician/surgeon


Address: 236 E 47th St Apt 24d, New York, NY 10017-2144

JONATHAN MOGEN (Credential# 1166944) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2019. The license expiration date date is December 31, 2019. The license status is INACTIVE.

Business Overview

JONATHAN MOGEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052280. The credential type is physician/surgeon. The effective date is January 1, 2019. The expiration date is December 31, 2019. The business address is 236 E 47th St Apt 24d, New York, NY 10017-2144. The current status is inactive.

Basic Information

Licensee Name JONATHAN MOGEN
Credential ID 1166944
Credential Number 1.052280
Credential Type Physician/Surgeon
Business Address 236 E 47th St Apt 24d
New York
NY 10017-2144
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2013-07-26
Effective Date 2019-01-01
Expiration Date 2019-12-31
Refresh Date 2020-06-08

Other licenses

ID Credential Code Credential Type Issue Term Status
1024972 CSP.0050993 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-08-12 2011-08-12 - 2013-02-28 INACTIVE

Office Location

Street Address 236 E 47TH ST APT 24D
City NEW YORK
State NY
Zip Code 10017-2144

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Competitor

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City NEW YORK
Zip Code 10017
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW YORK

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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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