KOSHNAF A ANTAR MD
Physician/surgeon


Address: 1925 Eastchester Rd-#11a, Bronx, NY 10461

KOSHNAF A ANTAR MD (Credential# 559503) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 14, 2003. The license expiration date date is March 31, 2004. The license status is INACTIVE.

Business Overview

KOSHNAF A ANTAR MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041920. The credential type is physician/surgeon. The effective date is October 14, 2003. The expiration date is March 31, 2004. The business address is 1925 Eastchester Rd-#11a, Bronx, NY 10461. The current status is inactive.

Basic Information

Licensee Name KOSHNAF A ANTAR MD
Credential ID 559503
Credential Number 1.041920
Credential Type Physician/Surgeon
Business Address 1925 Eastchester Rd-#11a
Bronx
NY 10461
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-10-14
Effective Date 2003-10-14
Expiration Date 2004-03-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
353191 CSP.0034258 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2003-10-28 - 2004-02-28 INACTIVE

Office Location

Street Address 1925 EASTCHESTER RD-#11A
City BRONX
State NY
Zip Code 10461

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City BRONX
Zip Code 10461
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BRONX

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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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