AGATHA C NODY MD
Physician/surgeon


Address: 75 East End Avenue, New York, NY 10028

AGATHA C NODY MD (Credential# 564558) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2010. The license expiration date date is May 31, 2011. The license status is INACTIVE.

Business Overview

AGATHA C NODY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046976. The credential type is physician/surgeon. The effective date is June 1, 2010. The expiration date is May 31, 2011. The business address is 75 East End Avenue, New York, NY 10028. The current status is inactive.

Basic Information

Licensee Name AGATHA C NODY MD
Credential ID 564558
Credential Number 1.046976
Credential Type Physician/Surgeon
Business Address 75 East End Avenue
New York
NY 10028
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2008-09-09
Effective Date 2010-06-01
Expiration Date 2011-05-31
Refresh Date 2011-09-02

Other licenses

ID Credential Code Credential Type Issue Term Status
517078 CSP.0044756 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-10-23 2009-03-01 - 2011-02-28 INACTIVE

Office Location

Street Address 75 East End Avenue
City NEW YORK
State NY
Zip Code 10028

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Competitor

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City NEW YORK
Zip Code 10028
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW YORK

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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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