MARISOL C TIMTIMAN
Physician/surgeon


Address: 304 Community Dr., Manhasset, NY 11030

MARISOL C TIMTIMAN (Credential# 563628) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 29, 2007. The license expiration date date is July 31, 2008. The license status is INACTIVE.

Business Overview

MARISOL C TIMTIMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046046. The credential type is physician/surgeon. The effective date is November 29, 2007. The expiration date is July 31, 2008. The business address is 304 Community Dr., Manhasset, NY 11030. The current status is inactive.

Basic Information

Licensee Name MARISOL C TIMTIMAN
Credential ID 563628
Credential Number 1.046046
Credential Type Physician/Surgeon
Business Address 304 Community Dr.
Manhasset
NY 11030
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2007-11-29
Effective Date 2007-11-29
Expiration Date 2008-07-31
Refresh Date 2009-07-08

Office Location

Street Address 304 Community Dr.
City Manhasset
State NY
Zip Code 11030

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Competitor

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City Manhasset
Zip Code 11030
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Manhasset

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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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