RANDOLPH ROSARION
Physician/surgeon


Address: 120-10 15th Ave., College Point, NY 11356

RANDOLPH ROSARION (Credential# 1470283) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.

Business Overview

RANDOLPH ROSARION is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060281. The credential type is physician/surgeon. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 120-10 15th Ave., College Point, NY 11356. The current status is active.

Basic Information

Licensee Name RANDOLPH ROSARION
Credential ID 1470283
Credential Number 1.060281
Credential Type Physician/Surgeon
Business Address 120-10 15th Ave.
College Point
NY 11356
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-04-11
Effective Date 2020-01-01
Expiration Date 2020-12-31
Refresh Date 2020-05-31

Office Location

Street Address 120-10 15th Ave.
City College Point
State NY
Zip Code 11356

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City College Point
Zip Code 11356
License Type Physician/Surgeon
License Type + County Physician/Surgeon + College Point

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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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