ROXANA MEHRAN MD
Physician/surgeon


Address: 55 East 59th St 6th Flr, New York City, NY 10022

ROXANA MEHRAN MD (Credential# 548556) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 12, 2007. The license expiration date date is October 31, 2008. The license status is INACTIVE.

Business Overview

ROXANA MEHRAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030590. The credential type is physician/surgeon. The effective date is December 12, 2007. The expiration date is October 31, 2008. The business address is 55 East 59th St 6th Flr, New York City, NY 10022. The current status is inactive.

Basic Information

Licensee Name ROXANA MEHRAN MD
Credential ID 548556
Credential Number 1.030590
Credential Type Physician/Surgeon
Business Address 55 East 59th St 6th Flr
New York City
NY 10022
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1990-02-16
Effective Date 2007-12-12
Expiration Date 2008-10-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
388866 CSP.0036723 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-11-09 2007-03-01 - 2008-02-29 INACTIVE

Office Location

Street Address 55 EAST 59TH ST 6TH FLR
City NEW YORK CITY
State NY
Zip Code 10022

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Competitor

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City NEW YORK CITY
Zip Code 10022
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW YORK CITY

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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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