TRISTAN DACUNHA
Physician/surgeon


Address: 40 Village Green, Bedford, NY 11432

TRISTAN DACUNHA (Credential# 1617357) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.

Business Overview

TRISTAN DACUNHA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063485. The credential type is physician/surgeon. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 40 Village Green, Bedford, NY 11432. The current status is active.

Basic Information

Licensee Name TRISTAN DACUNHA
Credential ID 1617357
Credential Number 1.063485
Credential Type Physician/Surgeon
Business Address 40 Village Green
Bedford
NY 11432
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-05-22
Effective Date 2019-09-01
Expiration Date 2020-08-31
Refresh Date 2019-11-29

Office Location

Street Address 40 village green
City Bedford
State NY
Zip Code 11432

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Competitor

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City Bedford
Zip Code 11432
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Bedford

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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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