RUSSELL J MASCARENHAS
Physician/surgeon


Address: 182-30 Wexford Ter, Jamaica Estates, NY 11432

RUSSELL J MASCARENHAS (Credential# 552611) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license expiration date date is October 31, 1996. The license status is INACTIVE.

Business Overview

RUSSELL J MASCARENHAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035016. The credential type is physician/surgeon. The expiration date is October 31, 1996. The business address is 182-30 Wexford Ter, Jamaica Estates, NY 11432. The current status is inactive.

Basic Information

Licensee Name RUSSELL J MASCARENHAS
Credential ID 552611
Credential Number 1.035016
Credential Type Physician/Surgeon
Business Address 182-30 Wexford Ter
Jamaica Estates
NY 11432
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-12-22
Expiration Date 1996-10-31
Refresh Date 2009-07-08

Office Location

Street Address 182-30 WEXFORD TER
City JAMAICA ESTATES
State NY
Zip Code 11432

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City JAMAICA ESTATES
Zip Code 11432
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License Type + County Physician/Surgeon + JAMAICA ESTATES

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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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