CONSTANTINE A AXIOTIS
Physician/surgeon


Address: 145 Shore Rd, Pelham Manor, NY 10803

CONSTANTINE A AXIOTIS (Credential# 545020) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2005. The license expiration date date is October 31, 2005. The license status is INACTIVE.

Business Overview

CONSTANTINE A AXIOTIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.024419. The credential type is physician/surgeon. The effective date is February 1, 2005. The expiration date is October 31, 2005. The business address is 145 Shore Rd, Pelham Manor, NY 10803. The current status is inactive.

Basic Information

Licensee Name CONSTANTINE A AXIOTIS
Credential ID 545020
Credential Number 1.024419
Credential Type Physician/Surgeon
Business Address 145 Shore Rd
Pelham Manor
NY 10803
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1983-10-03
Effective Date 2005-02-01
Expiration Date 2005-10-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
153332 CSP.0011943 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1993-06-14 - 1995-06-01 INACTIVE

Office Location

Street Address 145 SHORE RD
City PELHAM MANOR
State NY
Zip Code 10803

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Competitor

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City PELHAM MANOR
Zip Code 10803
License Type Physician/Surgeon
License Type + County Physician/Surgeon + PELHAM MANOR

Similar businesses

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Anthony H Axiotis Po Box 566, Fairfield, CT 06430 Physician/surgeon 1995-01-09 ~ 1996-01-31
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Gina M Constantine Porto 152 Temple St, New Haven, CT 06510 Physician/surgeon 2010-03-01 ~ 2011-02-28
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Constantine A Demetracopoulos 535 East 70th Street, New York, NY 10021 Physician/surgeon 2020-04-01 ~ 2021-03-31
Constantine Zariphes Jr 1653 Main St, South Windsor, CT 06074-1008 Physician/surgeon 2016-10-01 ~ 2017-09-30
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Perdikaris Constantine Dvlprs Inc Mpo Box 247, Purchase, NY 10577 Home Improvement Contractor 1997-12-01 ~ 1998-11-30
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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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