GEORGE J KOULLIAS
Physician/surgeon


Address: 302 Avalon Pines Drive, Coram, NY 11727

GEORGE J KOULLIAS (Credential# 557313) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2018. The license status is INACTIVE.

Business Overview

GEORGE J KOULLIAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039729. The credential type is physician/surgeon. The effective date is March 1, 2017. The expiration date is February 28, 2018. The business address is 302 Avalon Pines Drive, Coram, NY 11727. The current status is inactive.

Basic Information

Licensee Name GEORGE J KOULLIAS
Credential ID 557313
Credential Number 1.039729
Credential Type Physician/Surgeon
Business Address 302 Avalon Pines Drive
Coram
NY 11727
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2001-07-16
Effective Date 2017-03-01
Expiration Date 2018-02-28
Refresh Date 2018-06-03

Office Location

Street Address 302 Avalon Pines Drive
City Coram
State NY
Zip Code 11727

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Competitor

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City Coram
Zip Code 11727
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Coram

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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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