SALVATORE R LENZO MD
Physician/surgeon


Address: 955 5th Ave, New York, NY 10021

SALVATORE R LENZO MD (Credential# 559157) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2012. The license expiration date date is November 30, 2013. The license status is INACTIVE.

Business Overview

SALVATORE R LENZO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041574. The credential type is physician/surgeon. The effective date is December 1, 2012. The expiration date is November 30, 2013. The business address is 955 5th Ave, New York, NY 10021. The current status is inactive.

Basic Information

Licensee Name SALVATORE R LENZO MD
Credential ID 559157
Credential Number 1.041574
Credential Type Physician/Surgeon
Business Address 955 5th Ave
New York
NY 10021
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-06-19
Effective Date 2012-12-01
Expiration Date 2013-11-30
Refresh Date 2014-03-05

Other licenses

ID Credential Code Credential Type Issue Term Status
385980 CSP.0036580 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-10-07 2011-03-01 - 2013-02-28 INACTIVE

Office Location

Street Address 955 5TH AVE
City NEW YORK
State NY
Zip Code 10021

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City NEW YORK
Zip Code 10021
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW YORK

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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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