EDNA K AKOTO
Physician/surgeon


Address: 700 W 192nd St Apt 813, New York, NY 10040-2557

EDNA K AKOTO (Credential# 1177026) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2014. The license expiration date date is November 30, 2015. The license status is INACTIVE.

Business Overview

EDNA K AKOTO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052551. The credential type is physician/surgeon. The effective date is December 1, 2014. The expiration date is November 30, 2015. The business address is 700 W 192nd St Apt 813, New York, NY 10040-2557. The current status is inactive.

Basic Information

Licensee Name EDNA K AKOTO
Credential ID 1177026
Credential Number 1.052551
Credential Type Physician/Surgeon
Business Address 700 W 192nd St Apt 813
New York
NY 10040-2557
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2013-11-01
Effective Date 2014-12-01
Expiration Date 2015-11-30
Refresh Date 2016-03-04

Office Location

Street Address 700 W 192ND ST APT 813
City NEW YORK
State NY
Zip Code 10040-2557

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City NEW YORK
Zip Code 10040
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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