MARK DEANTONIO
Physician/surgeon


Address: Ucla Npi, Los Angles, CA 90024

MARK DEANTONIO (Credential# 545597) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.

Business Overview

MARK DEANTONIO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025698. The credential type is physician/surgeon. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is Ucla Npi, Los Angles, CA 90024. The current status is active.

Basic Information

Licensee Name MARK DEANTONIO
Credential ID 545597
Credential Number 1.025698
Credential Type Physician/Surgeon
Business Address Ucla Npi
Los Angles
CA 90024
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1984-07-10
Effective Date 2019-12-01
Expiration Date 2020-11-30
Refresh Date 2019-09-06

Office Location

Street Address UCLA NPI
City LOS ANGLES
State CA
Zip Code 90024

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Mazon: A Jewish Response To Hunger 10850 Wilshire Blvd. Ste 400, Los Angeles, CA 90024 Public Charity 2020-06-01 ~ 2021-05-31
Triton Pacific Investment Corporation, Inc. 10877 Wilshire Blvd 12th Fl, Los Angeles, CA 90024 Securities - Coordination 2019-03-17 ~ 2020-03-17
Shamrock Capital Content Fund II, Lp 1100 Glendon Avenue, Los Angeles, CA 90024 Securities - Exemptions 2020-02-28 ~
Aaamerican Opportunity Fund, LLC 1109 Westwood Blvd., Los Angeles, CA 90024 Securities - Exemptions 2020-01-21 ~
Aurora Equity Partners Vi, Lp 10877 Wilshire Blvd., Los Angeles, CA 90024 Securities - Exemptions ~
Andmark Investment Fund V, LLC 10990 Wilshire Blvd., Los Angeles, CA 90024 Securities - Exemptions ~
Joshua Freedman 921 Westwood Blvd #201, Los Angeles, CA 90024 Physician/surgeon 2019-10-24 ~ 2020-07-31
Nadia Chugal 923 Levering Avenue, Apt. 501, Los Angeles, CA 90024 Dentist 2018-05-01 ~ 2019-04-30
Puma Biotechnology, Inc. · N/a 10880 Wilshire Blvd. #2150, Los Angeles, CA 90024 Out of State Manufacturer of Drugs, Cosmetics & Medical Devices 2016-05-18 ~
Lawrence R Freedman 1537 Comstock Ave, Los Angeles, CA 90024 Physician/surgeon 2017-01-01 ~ 2017-10-31
Find all Licenses in zip 90024

Competitor

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City LOS ANGLES
Zip Code 90024
License Type Physician/Surgeon
License Type + County Physician/Surgeon + LOS ANGLES

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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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