ETHAN MOSKOVIC
Dentist


Address: 73 Muriel Ave, Lawrence, NY 11559-1810

ETHAN MOSKOVIC (Credential# 1988386) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is April 20, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.

Business Overview

ETHAN MOSKOVIC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.012722. The credential type is dentist. The effective date is April 20, 2020. The expiration date is January 31, 2021. The business address is 73 Muriel Ave, Lawrence, NY 11559-1810. The current status is active.

Basic Information

Licensee Name ETHAN MOSKOVIC
Credential ID 1988386
Credential Number 2.012722
Credential Type Dentist
Business Address 73 Muriel Ave
Lawrence
NY 11559-1810
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2020-04-20
Effective Date 2020-04-20
Expiration Date 2021-01-31
Refresh Date 2020-04-20

Office Location

Street Address 73 MURIEL AVE
City LAWRENCE
State NY
Zip Code 11559-1810

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Barry H Kohn 260 Pearsall Place, Lawrence, NY 11559 Physician/surgeon 2009-01-30 ~ 2010-02-28
Isreal A Zaltz 124 Fulton Street, Lawrence, NY 11559 Asbestos Abatement Supervisor 2008-12-15 ~ 2009-05-31
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Competitor

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City LAWRENCE
Zip Code 11559
License Type Dentist
License Type + County Dentist + LAWRENCE

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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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