WILLIAM S WANAGO
Physician/surgeon


Address: 166 E 61 St #12f, New York, NY 10021

WILLIAM S WANAGO (Credential# 543276) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 23, 1993. The license expiration date date is March 31, 1994. The license status is INACTIVE.

Business Overview

WILLIAM S WANAGO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.020131. The credential type is physician/surgeon. The effective date is April 23, 1993. The expiration date is March 31, 1994. The business address is 166 E 61 St #12f, New York, NY 10021. The current status is inactive.

Basic Information

Licensee Name WILLIAM S WANAGO
Credential ID 543276
Credential Number 1.020131
Credential Type Physician/Surgeon
Business Address 166 E 61 St #12f
New York
NY 10021
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1978-05-09
Effective Date 1993-04-23
Expiration Date 1994-03-31
Refresh Date 2009-07-08

Office Location

Street Address 166 E 61 ST #12F
City NEW YORK
State NY
Zip Code 10021

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City NEW YORK
Zip Code 10021
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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