NICOLAS N ABOURIZK
Physician/surgeon


Address: 68 Charles Bank Rd, Newton, MA 02458

NICOLAS N ABOURIZK (Credential# 545689) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 15, 2008. The license expiration date date is January 31, 2010. The license status is INACTIVE.

Business Overview

NICOLAS N ABOURIZK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025851. The credential type is physician/surgeon. The effective date is December 15, 2008. The expiration date is January 31, 2010. The business address is 68 Charles Bank Rd, Newton, MA 02458. The current status is inactive.

Basic Information

Licensee Name NICOLAS N ABOURIZK
Credential ID 545689
Credential Number 1.025851
Credential Type Physician/Surgeon
Business Address 68 Charles Bank Rd
Newton
MA 02458
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1984-08-03
Effective Date 2008-12-15
Expiration Date 2010-01-31
Refresh Date 2010-05-25

Other licenses

ID Credential Code Credential Type Issue Term Status
153138 CSP.0012502 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-03-01 - 2008-02-29 INACTIVE

Office Location

Street Address 68 Charles Bank Rd
City Newton
State MA
Zip Code 02458

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Competitor

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City Newton
Zip Code 02458
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Newton

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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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