CHARLES J MILITANA
Physician/surgeon


Address: 59 Pickwick Rd, Manhasset, NY 11030

CHARLES J MILITANA (Credential# 544890) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 2, 2006. The license expiration date date is October 31, 2007. The license status is INACTIVE.

Business Overview

CHARLES J MILITANA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.024190. The credential type is physician/surgeon. The effective date is October 2, 2006. The expiration date is October 31, 2007. The business address is 59 Pickwick Rd, Manhasset, NY 11030. The current status is inactive.

Basic Information

Licensee Name CHARLES J MILITANA
Credential ID 544890
Credential Number 1.024190
Credential Type Physician/Surgeon
Business Address 59 Pickwick Rd
Manhasset
NY 11030
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1983-03-24
Effective Date 2006-10-02
Expiration Date 2007-10-31
Refresh Date 2009-07-08

Office Location

Street Address 59 PICKWICK RD
City MANHASSET
State NY
Zip Code 11030

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City MANHASSET
Zip Code 11030
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MANHASSET

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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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