MYROSLAW J DRAGAN
Physician/surgeon


Address: 25 Third St, Stamford, CT 06905

MYROSLAW J DRAGAN (Credential# 542967) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 8, 1996. The license expiration date date is April 30, 1997. The license status is INACTIVE.

Business Overview

MYROSLAW J DRAGAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.019342. The credential type is physician/surgeon. The effective date is July 8, 1996. The expiration date is April 30, 1997. The business address is 25 Third St, Stamford, CT 06905. The current status is inactive.

Basic Information

Licensee Name MYROSLAW J DRAGAN
Credential ID 542967
Credential Number 1.019342
Credential Type Physician/Surgeon
Business Address 25 Third St
Stamford
CT 06905
Business Type INDIVIDUAL
Status INACTIVE - PRIOR DISCIPLINE
Issue Date 1977-06-06
Effective Date 1996-07-08
Expiration Date 1997-04-30
Refresh Date 2015-02-25

Office Location

Street Address 25 THIRD ST
City STAMFORD
State CT
Zip Code 06905

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Competitor

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City STAMFORD
Zip Code 06905
License Type Physician/Surgeon
License Type + County Physician/Surgeon + STAMFORD

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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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