CAROLINE ROTHMAN-EZRATTY
Physician/surgeon


Address: 138 Taconic Road, Greenwich, CT 06831

CAROLINE ROTHMAN-EZRATTY (Credential# 554184) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2012. The license expiration date date is November 30, 2013. The license status is INACTIVE.

Business Overview

CAROLINE ROTHMAN-EZRATTY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036593. The credential type is physician/surgeon. The effective date is December 1, 2012. The expiration date is November 30, 2013. The business address is 138 Taconic Road, Greenwich, CT 06831. The current status is inactive.

Basic Information

Licensee Name CAROLINE ROTHMAN-EZRATTY
Credential ID 554184
Credential Number 1.036593
Credential Type Physician/Surgeon
Business Address 138 Taconic Road
Greenwich
CT 06831
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-01-16
Effective Date 2012-12-01
Expiration Date 2013-11-30
Refresh Date 2014-03-05

Other licenses

ID Credential Code Credential Type Issue Term Status
229962 CSP.0029196 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-03-01 - 2006-02-28 INACTIVE

Office Location

Street Address 138 TACONIC ROAD
City GREENWICH
State CT
Zip Code 06831

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City GREENWICH
Zip Code 06831
License Type Physician/Surgeon
License Type + County Physician/Surgeon + GREENWICH

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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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