MADHAVARAO SUBBARAO
Physician/surgeon


Address: 263 A West 12th St, New York, NY 10014

MADHAVARAO SUBBARAO (Credential# 554086) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 4, 1998. The license expiration date date is May 31, 1999. The license status is INACTIVE.

Business Overview

MADHAVARAO SUBBARAO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036495. The credential type is physician/surgeon. The effective date is May 4, 1998. The expiration date is May 31, 1999. The business address is 263 A West 12th St, New York, NY 10014. The current status is inactive.

Basic Information

Licensee Name MADHAVARAO SUBBARAO
Credential ID 554086
Credential Number 1.036495
Credential Type Physician/Surgeon
Business Address 263 A West 12th St
New York
NY 10014
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-11-14
Effective Date 1998-05-04
Expiration Date 1999-05-31
Refresh Date 2009-07-08

Office Location

Street Address 263 A WEST 12TH ST
City NEW YORK
State NY
Zip Code 10014

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City NEW YORK
Zip Code 10014
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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