MICHAEL G TEDFORD
Physician/surgeon


Address: 425 Robinson Avenue, Newburgh, NY 12550

MICHAEL G TEDFORD (Credential# 554675) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 18, 2002. The license expiration date date is September 30, 2003. The license status is INACTIVE.

Business Overview

MICHAEL G TEDFORD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037085. The credential type is physician/surgeon. The effective date is September 18, 2002. The expiration date is September 30, 2003. The business address is 425 Robinson Avenue, Newburgh, NY 12550. The current status is inactive.

Basic Information

Licensee Name MICHAEL G TEDFORD
Credential ID 554675
Credential Number 1.037085
Credential Type Physician/Surgeon
Business Address 425 Robinson Avenue
Newburgh
NY 12550
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-07-10
Effective Date 2002-09-18
Expiration Date 2003-09-30
Refresh Date 2009-07-08

Office Location

Street Address 425 Robinson Avenue
City Newburgh
State NY
Zip Code 12550

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City Newburgh
Zip Code 12550
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Newburgh

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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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