HAROLD I GROSSMAN
Physician/surgeon


Address: 161 Madison Avenue, Suite 4nw, New York, NY 10016

HAROLD I GROSSMAN (Credential# 539867) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 3, 2004. The license expiration date date is April 30, 2005. The license status is INACTIVE.

Business Overview

HAROLD I GROSSMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.011022. The credential type is physician/surgeon. The effective date is May 3, 2004. The expiration date is April 30, 2005. The business address is 161 Madison Avenue, Suite 4nw, New York, NY 10016. The current status is inactive.

Basic Information

Licensee Name HAROLD I GROSSMAN
Credential ID 539867
Credential Number 1.011022
Credential Type Physician/Surgeon
Business Address 161 Madison Avenue, Suite 4nw
New York
NY 10016
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1962-09-19
Effective Date 2004-05-03
Expiration Date 2005-04-30
Refresh Date 2009-07-08

Office Location

Street Address 161 Madison Avenue, Suite 4NW
City New York
State NY
Zip Code 10016

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City New York
Zip Code 10016
License Type Physician/Surgeon
License Type + County Physician/Surgeon + New York

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John H Grossman IIi 2150 Pennsylvania, Washington, DC 20037 Physician/surgeon 1998-07-15 ~ 1999-08-31
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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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