ADELIA C MOUSTIATSE
Physician/surgeon


Address: 2514 East 19 Th St, Brooklyn, NY 11235

ADELIA C MOUSTIATSE (Credential# 554749) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 20, 1999. The license expiration date date is April 30, 2000. The license status is INACTIVE.

Business Overview

ADELIA C MOUSTIATSE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037159. The credential type is physician/surgeon. The effective date is April 20, 1999. The expiration date is April 30, 2000. The business address is 2514 East 19 Th St, Brooklyn, NY 11235. The current status is inactive.

Basic Information

Licensee Name ADELIA C MOUSTIATSE
Credential ID 554749
Credential Number 1.037159
Credential Type Physician/Surgeon
Business Address 2514 East 19 Th St
Brooklyn
NY 11235
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-08-07
Effective Date 1999-04-20
Expiration Date 2000-04-30
Refresh Date 2009-07-08

Office Location

Street Address 2514 EAST 19 TH ST
City BROOKLYN
State NY
Zip Code 11235

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Competitor

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City BROOKLYN
Zip Code 11235
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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