GUILLERMO LEOZ CALLIZO
Physician/surgeon


Address: 1901 1st Avenue, New York City, NY 10029

GUILLERMO LEOZ CALLIZO (Credential# 1443362) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 30, 2017. The license expiration date date is June 30, 2018. The license status is INACTIVE.

Business Overview

GUILLERMO LEOZ CALLIZO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056963. The credential type is physician/surgeon. The effective date is August 30, 2017. The expiration date is June 30, 2018. The business address is 1901 1st Avenue, New York City, NY 10029. The current status is inactive.

Basic Information

Licensee Name GUILLERMO LEOZ CALLIZO
Credential ID 1443362
Credential Number 1.056963
Credential Type Physician/Surgeon
Business Address 1901 1st Avenue
New York City
NY 10029
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2017-08-30
Effective Date 2017-08-30
Expiration Date 2018-06-30
Refresh Date 2018-10-03

Office Location

Street Address 1901 1st Avenue
City New York City
State NY
Zip Code 10029

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City New York City
Zip Code 10029
License Type Physician/Surgeon
License Type + County Physician/Surgeon + New York City

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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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