ADRIENNE ALLEN MD
Physician/surgeon


Address: 2803 Erie Boulevard East, Syracuse, NY 13224

ADRIENNE ALLEN MD (Credential# 552203) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 11, 1999. The license expiration date date is March 31, 2000. The license status is INACTIVE.

Business Overview

ADRIENNE ALLEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034607. The credential type is physician/surgeon. The effective date is January 11, 1999. The expiration date is March 31, 2000. The business address is 2803 Erie Boulevard East, Syracuse, NY 13224. The current status is inactive.

Basic Information

Licensee Name ADRIENNE ALLEN MD
Credential ID 552203
Credential Number 1.034607
Credential Type Physician/Surgeon
Business Address 2803 Erie Boulevard East
Syracuse
NY 13224
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-06-30
Effective Date 1999-01-11
Expiration Date 2000-03-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
161392 CSP.0023410 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 - 2000-02-28 INACTIVE

Office Location

Street Address 2803 ERIE BOULEVARD EAST
City SYRACUSE
State NY
Zip Code 13224

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Kira L Smith Lnm 211 Crawford Ave, Syracuse, NY 13224 Registered Nurse 2020-04-01 ~ 2021-03-31
Patrick G Lewis · The Torrington Company 21 Erregger Terr, Syracuse, NY 13224 Professional Engineer 1989-05-10 ~ 1990-01-31
Ronald E Harden 114 Niven St, Syracuse, NY 13224 Licensed Practical Nurse 2010-01-01 ~ 2010-12-31
Susan M Bennett 161 Didama St, Syracuse, NY 13224 Licensed Practical Nurse 2001-12-24 ~ 2002-12-31
Maureen J Mintz 110 Hatherly Road, Syracuse, NY 13224 Registered Nurse 1996-11-15 ~ 1998-01-31
Priscilla Cole 2400 E Genesee St, Syracuse, NY 13224 Licensed Practical Nurse 2007-11-20 ~ 2008-08-31
Joan N Kitromilis 10 Drumlins Terrace, Syracuse, NY 13224 Registered Nurse 1999-03-24 ~ 2000-05-31
Kim R Marshall 1611 Meadowbrook Dr #7, Syracuse, NY 13224 Licensed Practical Nurse 2008-05-22 ~ 2009-02-28
Joseph P Horsman 2838 E Genesee St, Syracuse, NY 13224-1525 Repairer of Weighing & Measuring Devices 2013-12-17 ~ 2014-12-31
Tara Tulowiecki 501 Crawford Ave, Syracuse, NY 13224-1751 Registered Nurse 2009-09-29 ~ 2010-09-30
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Competitor

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City SYRACUSE
Zip Code 13224
License Type Physician/Surgeon
License Type + County Physician/Surgeon + SYRACUSE

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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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