SANDY A. ITWARU
Physician/surgeon


Address: 330 Ridgewood Ave, Brooklyn, NY 11208-1416

SANDY A. ITWARU (Credential# 1185023) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2015. The license expiration date date is July 31, 2016. The license status is INACTIVE.

Business Overview

SANDY A. ITWARU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052466. The credential type is physician/surgeon. The effective date is August 1, 2015. The expiration date is July 31, 2016. The business address is 330 Ridgewood Ave, Brooklyn, NY 11208-1416. The current status is inactive.

Basic Information

Licensee Name SANDY A. ITWARU
Credential ID 1185023
Credential Number 1.052466
Credential Type Physician/Surgeon
Business Address 330 Ridgewood Ave
Brooklyn
NY 11208-1416
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2013-09-24
Effective Date 2015-08-01
Expiration Date 2016-07-31
Refresh Date 2016-11-03

Office Location

Street Address 330 RIDGEWOOD AVE
City BROOKLYN
State NY
Zip Code 11208-1416

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Competitor

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City BROOKLYN
Zip Code 11208
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BROOKLYN

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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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