MARK MAZIN
Dentist


Address: 271 Avenue C Apt 9d, New York, NY 10009-2528

MARK MAZIN (Credential# 1318949) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is December 12, 1987. The license expiration date date is September 30, 1989. The license status is INACTIVE.

Business Overview

MARK MAZIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.007183. The credential type is dentist. The effective date is December 12, 1987. The expiration date is September 30, 1989. The business address is 271 Avenue C Apt 9d, New York, NY 10009-2528. The current status is inactive.

Basic Information

Licensee Name MARK MAZIN
Credential ID 1318949
Credential Number 2.007183
Credential Type Dentist
Business Address 271 Avenue C Apt 9d
New York
NY 10009-2528
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1987-12-12
Effective Date 1987-12-12
Expiration Date 1989-09-30
Refresh Date 2015-10-30

Office Location

Street Address 271 AVENUE C APT 9D
City NEW YORK
State NY
Zip Code 10009-2528

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City NEW YORK
Zip Code 10009
License Type Dentist
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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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