KEREN A KAZIS
Physician/surgeon


Address: 24 Bellefair Rd., Rye Brook, NY 10573

KEREN A KAZIS (Credential# 561795) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 3, 2006. The license expiration date date is April 30, 2007. The license status is INACTIVE.

Business Overview

KEREN A KAZIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044213. The credential type is physician/surgeon. The effective date is April 3, 2006. The expiration date is April 30, 2007. The business address is 24 Bellefair Rd., Rye Brook, NY 10573. The current status is inactive.

Basic Information

Licensee Name KEREN A KAZIS
Credential ID 561795
Credential Number 1.044213
Credential Type Physician/Surgeon
Business Address 24 Bellefair Rd.
Rye Brook
NY 10573
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2006-04-03
Effective Date 2006-04-03
Expiration Date 2007-04-30
Refresh Date 2009-07-08

Office Location

Street Address 24 Bellefair Rd.
City Rye Brook
State NY
Zip Code 10573

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Editha M Comia 480 King St, Port Chester, NY 10573 Registered Nurse 2020-07-01 ~ 2021-06-30
Cheryl P Lopez 14 Fawcett Street, Port Chester, NY 10573 Licensed Clinical Social Worker 2020-08-01 ~ 2021-07-31
Madeline X Cole-short 40 Quintard Dr., Port Chester, NY 10573 Emergency Medical Responder ~
Helene A Kimmons 9 Burdsall Drive, Port Chester, NY 10573 Registered Nurse 2020-09-01 ~ 2021-08-31
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Competitor

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City Rye Brook
Zip Code 10573
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Rye Brook

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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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