ANDREW G MITTON
Physician/surgeon


Address: 1485 5th Ave, New York, NY 10035-2772

ANDREW G MITTON (Credential# 1178191) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2013. The license expiration date date is November 30, 2014. The license status is INACTIVE.

Business Overview

ANDREW G MITTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052553. The credential type is physician/surgeon. The effective date is November 1, 2013. The expiration date is November 30, 2014. The business address is 1485 5th Ave, New York, NY 10035-2772. The current status is inactive.

Basic Information

Licensee Name ANDREW G MITTON
Credential ID 1178191
Credential Number 1.052553
Credential Type Physician/Surgeon
Business Address 1485 5th Ave
New York
NY 10035-2772
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2013-11-01
Effective Date 2013-11-01
Expiration Date 2014-11-30
Refresh Date 2015-03-05

Office Location

Street Address 1485 5TH AVE
City NEW YORK
State NY
Zip Code 10035-2772

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City NEW YORK
Zip Code 10035
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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