EUGENE M BRANOVACKI
Physician/surgeon


Address: 215 E Church St, Elmira, NY 14901

EUGENE M BRANOVACKI (Credential# 548663) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 16, 1994. The license expiration date date is May 31, 1995. The license status is INACTIVE.

Business Overview

EUGENE M BRANOVACKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030746. The credential type is physician/surgeon. The effective date is May 16, 1994. The expiration date is May 31, 1995. The business address is 215 E Church St, Elmira, NY 14901. The current status is inactive.

Basic Information

Licensee Name EUGENE M BRANOVACKI
Credential ID 548663
Credential Number 1.030746
Credential Type Physician/Surgeon
Business Address 215 E Church St
Elmira
NY 14901
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1990-05-04
Effective Date 1994-05-16
Expiration Date 1995-05-31
Refresh Date 2009-07-08

Office Location

Street Address 215 E CHURCH ST
City ELMIRA
State NY
Zip Code 14901

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Cynthia J Ellis 88 Cleveland Ave, Elmira, NY 14905-2010 Radiographer 2015-12-17 ~ 2016-06-30
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City ELMIRA
Zip Code 14901
License Type Physician/Surgeon
License Type + County Physician/Surgeon + ELMIRA

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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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