CARMINE A SORBERA MD
Physician/surgeon


Address: 19 Bradhurst Ave Suite 700, Hawthorne, NY 10532

CARMINE A SORBERA MD (Credential# 559615) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2004. The license expiration date date is March 31, 2005. The license status is INACTIVE.

Business Overview

CARMINE A SORBERA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042033. The credential type is physician/surgeon. The effective date is March 1, 2004. The expiration date is March 31, 2005. The business address is 19 Bradhurst Ave Suite 700, Hawthorne, NY 10532. The current status is inactive.

Basic Information

Licensee Name CARMINE A SORBERA MD
Credential ID 559615
Credential Number 1.042033
Credential Type Physician/Surgeon
Business Address 19 Bradhurst Ave Suite 700
Hawthorne
NY 10532
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-12-01
Effective Date 2004-03-01
Expiration Date 2005-03-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
366414 CSP.0034796 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-04-20 - 2005-02-28 INACTIVE

Office Location

Street Address 19 BRADHURST AVE SUITE 700
City HAWTHORNE
State NY
Zip Code 10532

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City HAWTHORNE
Zip Code 10532
License Type Physician/Surgeon
License Type + County Physician/Surgeon + HAWTHORNE

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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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