JOCELYN L TAN
Physician/surgeon


Address: 3636 Waldo Ave, Riverdale, NY 10463

JOCELYN L TAN (Credential# 550653) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 1981. The license expiration date date is March 31, 1994. The license status is INACTIVE.

Business Overview

JOCELYN L TAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033054. The credential type is physician/surgeon. The effective date is January 1, 1981. The expiration date is March 31, 1994. The business address is 3636 Waldo Ave, Riverdale, NY 10463. The current status is inactive.

Basic Information

Licensee Name JOCELYN L TAN
Credential ID 550653
Credential Number 1.033054
Credential Type Physician/Surgeon
Business Address 3636 Waldo Ave
Riverdale
NY 10463
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-06-18
Effective Date 1981-01-01
Expiration Date 1994-03-31
Refresh Date 2009-07-08

Office Location

Street Address 3636 WALDO AVE
City RIVERDALE
State NY
Zip Code 10463

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Competitor

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City RIVERDALE
Zip Code 10463
License Type Physician/Surgeon
License Type + County Physician/Surgeon + RIVERDALE

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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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