SERGEY M MOTOV MD
Physician/surgeon


Address: 2403 Brigham St, Brooklyn, NY 11235

SERGEY M MOTOV MD (Credential# 558614) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 23, 2005. The license expiration date date is June 30, 2006. The license status is INACTIVE.

Business Overview

SERGEY M MOTOV MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041031. The credential type is physician/surgeon. The effective date is September 23, 2005. The expiration date is June 30, 2006. The business address is 2403 Brigham St, Brooklyn, NY 11235. The current status is inactive.

Basic Information

Licensee Name SERGEY M MOTOV MD
Credential ID 558614
Credential Number 1.041031
Credential Type Physician/Surgeon
Business Address 2403 Brigham St
Brooklyn
NY 11235
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2002-12-19
Effective Date 2005-09-23
Expiration Date 2006-06-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
334022 CSP.0033254 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-03-01 - 2006-02-28 INACTIVE

Office Location

Street Address 2403 BRIGHAM ST
City BROOKLYN
State NY
Zip Code 11235

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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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