RAUL JOSE B MASAKAYAN
Physician/surgeon


Address: 32 Setalcott Place, Setauket, NY 11731

RAUL JOSE B MASAKAYAN (Credential# 550949) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 5, 1997. The license expiration date date is November 30, 1998. The license status is INACTIVE.

Business Overview

RAUL JOSE B MASAKAYAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033350. The credential type is physician/surgeon. The effective date is November 5, 1997. The expiration date is November 30, 1998. The business address is 32 Setalcott Place, Setauket, NY 11731. The current status is inactive.

Basic Information

Licensee Name RAUL JOSE B MASAKAYAN
Credential ID 550949
Credential Number 1.033350
Credential Type Physician/Surgeon
Business Address 32 Setalcott Place
Setauket
NY 11731
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-10-01
Effective Date 1997-11-05
Expiration Date 1998-11-30
Refresh Date 2009-07-08

Office Location

Street Address 32 SETALCOTT PLACE
City SETAUKET
State NY
Zip Code 11731

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City SETAUKET
Zip Code 11731
License Type Physician/Surgeon
License Type + County Physician/Surgeon + SETAUKET

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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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