EMMA BENJAMIN
Physician/surgeon


Address: 64-11 99 Street, #604, Rego Park, NY 11374

EMMA BENJAMIN (Credential# 562586) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2010. The license expiration date date is October 31, 2011. The license status is INACTIVE.

Business Overview

EMMA BENJAMIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045004. The credential type is physician/surgeon. The effective date is November 1, 2010. The expiration date is October 31, 2011. The business address is 64-11 99 Street, #604, Rego Park, NY 11374. The current status is inactive.

Basic Information

Licensee Name EMMA BENJAMIN
Credential ID 562586
Credential Number 1.045004
Credential Type Physician/Surgeon
Business Address 64-11 99 Street, #604
Rego Park
NY 11374
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2006-12-28
Effective Date 2010-11-01
Expiration Date 2011-10-31
Refresh Date 2012-02-08

Office Location

Street Address 64-11 99 Street, #604
City Rego Park
State NY
Zip Code 11374

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City Rego Park
Zip Code 11374
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Rego Park

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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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