NICOLAS A WOZMAK
Physician/surgeon


Address: 78 Brainerd Rd, Apt 5, Allston, MA 02134

NICOLAS A WOZMAK (Credential# 565275) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 11, 2009. The license expiration date date is May 31, 2010. The license status is INACTIVE.

Business Overview

NICOLAS A WOZMAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047693. The credential type is physician/surgeon. The effective date is May 11, 2009. The expiration date is May 31, 2010. The business address is 78 Brainerd Rd, Apt 5, Allston, MA 02134. The current status is inactive.

Basic Information

Licensee Name NICOLAS A WOZMAK
Credential ID 565275
Credential Number 1.047693
Credential Type Physician/Surgeon
Business Address 78 Brainerd Rd, Apt 5
Allston
MA 02134
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-05-11
Effective Date 2009-05-11
Expiration Date 2010-05-31
Refresh Date 2010-09-01

Office Location

Street Address 78 Brainerd Rd, Apt 5
City Allston
State MA
Zip Code 02134

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Competitor

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City Allston
Zip Code 02134
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Allston

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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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