YELENA M YERMAK
Physician/surgeon


Address: 19 Benedict Place, Carmel, NY 10512

YELENA M YERMAK (Credential# 559679) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 6, 2009. The license expiration date date is July 31, 2010. The license status is INACTIVE.

Business Overview

YELENA M YERMAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042097. The credential type is physician/surgeon. The effective date is July 6, 2009. The expiration date is July 31, 2010. The business address is 19 Benedict Place, Carmel, NY 10512. The current status is inactive.

Basic Information

Licensee Name YELENA M YERMAK
Credential ID 559679
Credential Number 1.042097
Credential Type Physician/Surgeon
Business Address 19 Benedict Place
Carmel
NY 10512
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2004-01-15
Effective Date 2009-07-06
Expiration Date 2010-07-31
Refresh Date 2010-11-02

Office Location

Street Address 19 Benedict Place
City Carmel
State NY
Zip Code 10512

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Competitor

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City Carmel
Zip Code 10512
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Carmel

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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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