JACOB GRAHAM
Physician/surgeon


Address: 171 East 84th St, New York, NY 10028

JACOB GRAHAM (Credential# 542045) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 28, 1996. The license expiration date date is February 28, 1997. The license status is INACTIVE.

Business Overview

JACOB GRAHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.016732. The credential type is physician/surgeon. The effective date is May 28, 1996. The expiration date is February 28, 1997. The business address is 171 East 84th St, New York, NY 10028. The current status is inactive.

Basic Information

Licensee Name JACOB GRAHAM
Credential ID 542045
Credential Number 1.016732
Credential Type Physician/Surgeon
Business Address 171 East 84th St
New York
NY 10028
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1974-08-21
Effective Date 1996-05-28
Expiration Date 1997-02-28
Refresh Date 2009-07-08

Office Location

Street Address 171 EAST 84TH ST
City NEW YORK
State NY
Zip Code 10028

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Doe Fund Inc (the) 232 East 84th Street, New York, NY 10028 Public Charity 2020-05-31 ~ 2020-05-31
Joanne Reed 515 E 85 St, New York, NY 10028 Registered Nurse 2020-09-01 ~ 2021-08-31
Alexander Gunn 205 East 85th Street #12cd, New York, NY 10028 Landscape Architect 2020-08-01 ~ 2021-07-31
Philip Felig 1056 Fifth Ave, New York, NY 10028 Physician/surgeon 2019-01-01 ~ 2019-12-31
Elie Levine 35 East 84th Street, New York, NY 10028 Physician/surgeon 2019-01-01 ~ 2019-12-31
Olivia Z Hutchinson 121a East 83rd Street, New York, NY 10028 Physician/surgeon 2020-06-01 ~ 2021-05-31
Barry Sender 520 East 84th St, New York, NY 10028 Optician 2020-06-01 ~ 2021-05-31
Philip J Wagner 525 E. 86th Street, New York, NY 10028 Physician/surgeon 2020-06-01 ~ 2021-05-31
Mark Graham Albert 950 Park Avenue, New York, NY 10028 Physician/surgeon 2020-06-01 ~ 2021-05-31
Susan C Casden 185 East 85th Street, New York, NY 10028 Psychologist 2020-06-01 ~ 2021-05-31
Find all Licenses in zip 10028

Competitor

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City NEW YORK
Zip Code 10028
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW YORK

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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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