MIRELA SHOSHI NICOLE LAZARCIUC
Physician/surgeon


Address: 251 1st Street, Apt 5c, Brooklyn, NY 11215

MIRELA SHOSHI NICOLE LAZARCIUC (Credential# 1789272) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 2, 2019. The license expiration date date is December 31, 2020. The license status is ACTIVE.

Business Overview

MIRELA SHOSHI NICOLE LAZARCIUC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064626. The credential type is physician/surgeon. The effective date is December 2, 2019. The expiration date is December 31, 2020. The business address is 251 1st Street, Apt 5c, Brooklyn, NY 11215. The current status is active.

Basic Information

Licensee Name MIRELA SHOSHI NICOLE LAZARCIUC
Credential ID 1789272
Credential Number 1.064626
Credential Type Physician/Surgeon
Business Address 251 1st Street, Apt 5c
Brooklyn
NY 11215
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-12-02
Effective Date 2019-12-02
Expiration Date 2020-12-31
Refresh Date 2019-12-03

Office Location

Street Address 251 1st Street, apt 5C
City Brooklyn
State NY
Zip Code 11215

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Competitor

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City Brooklyn
Zip Code 11215
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Brooklyn

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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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