JESSE B MUNOZ
Physician/surgeon


Address: 255 Trumbull Road, Munsey Park, NY 11030

JESSE B MUNOZ (Credential# 544871) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 15, 2001. The license expiration date date is October 31, 2002. The license status is INACTIVE.

Business Overview

JESSE B MUNOZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.024088. The credential type is physician/surgeon. The effective date is November 15, 2001. The expiration date is October 31, 2002. The business address is 255 Trumbull Road, Munsey Park, NY 11030. The current status is inactive.

Basic Information

Licensee Name JESSE B MUNOZ
Credential ID 544871
Credential Number 1.024088
Credential Type Physician/Surgeon
Business Address 255 Trumbull Road
Munsey Park
NY 11030
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1983-02-24
Effective Date 2001-11-15
Expiration Date 2002-10-31
Refresh Date 2009-07-08

Office Location

Street Address 255 TRUMBULL ROAD
City MUNSEY PARK
State NY
Zip Code 11030

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City MUNSEY PARK
Zip Code 11030
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MUNSEY PARK

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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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