ULYSSES J MAGALANG
Physician/surgeon


Address: 5100 High Bridge St, Fayetteville, NY 13066

ULYSSES J MAGALANG (Credential# 548405) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 28, 1995. The license expiration date date is July 31, 1996. The license status is INACTIVE.

Business Overview

ULYSSES J MAGALANG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030362. The credential type is physician/surgeon. The effective date is June 28, 1995. The expiration date is July 31, 1996. The business address is 5100 High Bridge St, Fayetteville, NY 13066. The current status is inactive.

Basic Information

Licensee Name ULYSSES J MAGALANG
Credential ID 548405
Credential Number 1.030362
Credential Type Physician/Surgeon
Business Address 5100 High Bridge St
Fayetteville
NY 13066
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1989-09-29
Effective Date 1995-06-28
Expiration Date 1996-07-31
Refresh Date 2009-07-08

Office Location

Street Address 5100 HIGH BRIDGE ST
City FAYETTEVILLE
State NY
Zip Code 13066

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City FAYETTEVILLE
Zip Code 13066
License Type Physician/Surgeon
License Type + County Physician/Surgeon + FAYETTEVILLE

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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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