MONA-LISA JEAN-BAPTISTE
Physician/surgeon


Address: 1318 E. 66 Street, Brooklyn, NY 11234

MONA-LISA JEAN-BAPTISTE (Credential# 553954) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.

Business Overview

MONA-LISA JEAN-BAPTISTE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036362. The credential type is physician/surgeon. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 1318 E. 66 Street, Brooklyn, NY 11234. The current status is active.

Basic Information

Licensee Name MONA-LISA JEAN-BAPTISTE
Credential ID 553954
Credential Number 1.036362
Credential Type Physician/Surgeon
Business Address 1318 E. 66 Street
Brooklyn
NY 11234
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1997-09-05
Effective Date 2019-11-01
Expiration Date 2020-10-31
Refresh Date 2019-09-04

Other licenses

ID Credential Code Credential Type Issue Term Status
187911 CSP.0026108 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1998-03-01 - 1999-02-28 INACTIVE

Office Location

Street Address 1318 E. 66 STREET
City BROOKLYN
State NY
Zip Code 11234

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City BROOKLYN
Zip Code 11234
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BROOKLYN

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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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