SHOBHA R PATEL
Physician/surgeon


Address: 153-15 77th Road, Flushing, NY 11367

SHOBHA R PATEL (Credential# 553359) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license expiration date date is November 30, 1997. The license status is INACTIVE.

Business Overview

SHOBHA R PATEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035766. The credential type is physician/surgeon. The expiration date is November 30, 1997. The business address is 153-15 77th Road, Flushing, NY 11367. The current status is inactive.

Basic Information

Licensee Name SHOBHA R PATEL
Credential ID 553359
Credential Number 1.035766
Credential Type Physician/Surgeon
Business Address 153-15 77th Road
Flushing
NY 11367
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-01-03
Expiration Date 1997-11-30
Refresh Date 2009-07-08

Office Location

Street Address 153-15 77TH ROAD
City FLUSHING
State NY
Zip Code 11367

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City FLUSHING
Zip Code 11367
License Type Physician/Surgeon
License Type + County Physician/Surgeon + FLUSHING

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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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