LIEL ANDY GRINBAUM
Dentist


Address: 12 Hewlett Ln, Great Neck, NY 11024-1308

LIEL ANDY GRINBAUM (Credential# 1510994) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is June 8, 2018. The license expiration date date is February 28, 2019. The license status is INACTIVE.

Business Overview

LIEL ANDY GRINBAUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.012256. The credential type is dentist. The effective date is June 8, 2018. The expiration date is February 28, 2019. The business address is 12 Hewlett Ln, Great Neck, NY 11024-1308. The current status is inactive.

Basic Information

Licensee Name LIEL ANDY GRINBAUM
Credential ID 1510994
Credential Number 2.012256
Credential Type Dentist
Business Address 12 Hewlett Ln
Great Neck
NY 11024-1308
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2018-06-08
Effective Date 2018-06-08
Expiration Date 2019-02-28
Refresh Date 2019-06-03

Office Location

Street Address 12 HEWLETT LN
City GREAT NECK
State NY
Zip Code 11024-1308

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Competitor

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City GREAT NECK
Zip Code 11024
License Type Dentist
License Type + County Dentist + GREAT NECK

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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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