JEAN-ETIENNE THIBAUD
Physician/surgeon


Address: 168 E. Rockaway Road, Hewlett, NY 11557

JEAN-ETIENNE THIBAUD (Credential# 561934) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 17, 2008. The license expiration date date is November 30, 2009. The license status is INACTIVE.

Business Overview

JEAN-ETIENNE THIBAUD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044352-DO. The credential type is physician/surgeon. The effective date is November 17, 2008. The expiration date is November 30, 2009. The business address is 168 E. Rockaway Road, Hewlett, NY 11557. The current status is inactive.

Basic Information

Licensee Name JEAN-ETIENNE THIBAUD
Credential ID 561934
Credential Number 1.044352-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 168 E. Rockaway Road
Hewlett
NY 11557
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2006-05-10
Effective Date 2008-11-17
Expiration Date 2009-11-30
Refresh Date 2010-03-30

Office Location

Street Address 168 E. Rockaway Road
City Hewlett
State NY
Zip Code 11557

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Kelly Lee 1429 Broadway Apt 1r, Hewlett, NY 11557 Hairdresser/cosmetician 2016-02-01 ~ 2018-01-31
Jingshun Jin 10-25 166 St, Whitestone, NY 11557 Massage Therapist ~
Steven B Greenberg 1200 W Broadway, Hewlett, NY 11557 Real Estate Broker 2001-04-01 ~ 2002-03-31
Levine, Greenberg & Company 224 Franklin Ave., Hewlett, NY 11557 Certified Public Accountant Firm Permit 1999-01-01 ~ 1999-12-31
Glenda B Wexler 1598 Broadway, Hewlett, NY 11557 Veterinarian 2010-04-01 ~ 2011-03-31
Reuven Tizes 49 Piermont Rd, Hewlett, NY 11557 Physician/surgeon 1994-03-11 ~ 1995-05-31
William M Levine 49 Harris Avenue, Hewlett, NY 11557 Podiatrist 1981-01-01 ~ 1994-06-30
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City Hewlett
Zip Code 11557
License Type Physician/Surgeon
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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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