SOURABH VERMA
Physician/surgeon


Address: 4616 Burling St Apt 2f, Flushing, NY 11355-2209

SOURABH VERMA (Credential# 1213093) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2015. The license expiration date date is August 31, 2016. The license status is INACTIVE.

Business Overview

SOURABH VERMA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053368. The credential type is physician/surgeon. The effective date is September 1, 2015. The expiration date is August 31, 2016. The business address is 4616 Burling St Apt 2f, Flushing, NY 11355-2209. The current status is inactive.

Basic Information

Licensee Name SOURABH VERMA
Credential ID 1213093
Credential Number 1.053368
Credential Type Physician/Surgeon
Business Address 4616 Burling St Apt 2f
Flushing
NY 11355-2209
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2014-08-01
Effective Date 2015-09-01
Expiration Date 2016-08-31
Refresh Date 2016-12-04

Office Location

Street Address 4616 BURLING ST APT 2F
City FLUSHING
State NY
Zip Code 11355-2209

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Competitor

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

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Vinod K Verma 1309-3233 Ellington, Scarborough Ontario, MIJ3N6 Physician/surgeon 1996-01-11 ~ 1997-01-31
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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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