INGRID M VANHOLLEBEKE
Physician/surgeon


Address: 19303 Arrowhead Ave., Cleveland, OH 44119

INGRID M VANHOLLEBEKE (Credential# 563290) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 26, 2007. The license expiration date date is March 31, 2008. The license status is INACTIVE.

Business Overview

INGRID M VANHOLLEBEKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045708-DO. The credential type is physician/surgeon. The effective date is July 26, 2007. The expiration date is March 31, 2008. The business address is 19303 Arrowhead Ave., Cleveland, OH 44119. The current status is inactive.

Basic Information

Licensee Name INGRID M VANHOLLEBEKE
Credential ID 563290
Credential Number 1.045708-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 19303 Arrowhead Ave.
Cleveland
OH 44119
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2007-07-26
Effective Date 2007-07-26
Expiration Date 2008-03-31
Refresh Date 2010-03-11

Office Location

Street Address 19303 Arrowhead Ave.
City Cleveland
State OH
Zip Code 44119

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City Cleveland
Zip Code 44119
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Cleveland

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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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