HANNE E FAVELUKES
Physician/surgeon


Address: 438 West 116th St, New York, NY 10027

HANNE E FAVELUKES (Credential# 551257) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2011. The license expiration date date is May 31, 2012. The license status is INACTIVE.

Business Overview

HANNE E FAVELUKES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033658. The credential type is physician/surgeon. The effective date is June 1, 2011. The expiration date is May 31, 2012. The business address is 438 West 116th St, New York, NY 10027. The current status is inactive.

Basic Information

Licensee Name HANNE E FAVELUKES
Credential ID 551257
Credential Number 1.033658
Credential Type Physician/Surgeon
Business Address 438 West 116th St
New York
NY 10027
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1994-04-22
Effective Date 2011-06-01
Expiration Date 2012-05-31
Refresh Date 2012-09-04

Office Location

Street Address 438 WEST 116TH ST
City NEW YORK
State NY
Zip Code 10027

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City NEW YORK
Zip Code 10027
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW YORK

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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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