SOMASUNDARAM JAYABOSE
Physician/surgeon


Address: 16 Gregory Lane, Millwood, NY 10546

SOMASUNDARAM JAYABOSE (Credential# 557562) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 9, 2004. The license expiration date date is July 31, 2005. The license status is INACTIVE.

Business Overview

SOMASUNDARAM JAYABOSE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039979. The credential type is physician/surgeon. The effective date is July 9, 2004. The expiration date is July 31, 2005. The business address is 16 Gregory Lane, Millwood, NY 10546. The current status is inactive.

Basic Information

Licensee Name SOMASUNDARAM JAYABOSE
Credential ID 557562
Credential Number 1.039979
Credential Type Physician/Surgeon
Business Address 16 Gregory Lane
Millwood
NY 10546
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2001-11-05
Effective Date 2004-07-09
Expiration Date 2005-07-31
Refresh Date 2009-07-08

Office Location

Street Address 16 Gregory Lane
City Millwood
State NY
Zip Code 10546

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Karen M Schuster 105 Inningwood Place, Millwood, NY 10546 Notary Public Appointment 2004-12-06 ~ 2009-12-31
Joseph Max Stein 19 Baldwin Hills Road, Millwood, NY 10546 Notary Public Appointment 2014-05-12 ~ 2019-05-31
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City Millwood
Zip Code 10546
License Type Physician/Surgeon
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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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