JOSE F TIBURCIO
Physician/surgeon


Address: 10205 187th Street, Hollis, NY 11423

JOSE F TIBURCIO (Credential# 563095) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 15, 2007. The license expiration date date is June 30, 2008. The license status is INACTIVE.

Business Overview

JOSE F TIBURCIO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045513. The credential type is physician/surgeon. The effective date is June 15, 2007. The expiration date is June 30, 2008. The business address is 10205 187th Street, Hollis, NY 11423. The current status is inactive.

Basic Information

Licensee Name JOSE F TIBURCIO
Credential ID 563095
Credential Number 1.045513
Credential Type Physician/Surgeon
Business Address 10205 187th Street
Hollis
NY 11423
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2007-06-15
Effective Date 2007-06-15
Expiration Date 2008-06-30
Refresh Date 2009-07-08

Office Location

Street Address 10205 187th Street
City Hollis
State NY
Zip Code 11423

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Jing J Sun 88-34 195th Pl, Hollis, NY 11423 Massage Therapist 2017-07-01 ~ 2019-06-30
Valeriy Aranbayev 19340 85th Road, Hollis, NY 11423 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Joyce Mary Akhtar Md 8016 188th St, Hollis, NY 11423 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Supreme Futon 183-16 Jamaica Ave, Hollis, NY 11423 Manufacturer of Bedding & Upholstered Furniture 2007-05-01 ~ 2008-04-30
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Competitor

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City Hollis
Zip Code 11423
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Hollis

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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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