ICELINI GARCIA-SOSA
Physician/surgeon


Address: 286 President St Apt 4, Brooklyn, NY 11231-4654

ICELINI GARCIA-SOSA (Credential# 565385) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2010. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

ICELINI GARCIA-SOSA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047803. The credential type is physician/surgeon. The effective date is March 1, 2010. The expiration date is February 28, 2011. The business address is 286 President St Apt 4, Brooklyn, NY 11231-4654. The current status is inactive.

Basic Information

Licensee Name ICELINI GARCIA-SOSA
Credential ID 565385
Credential Number 1.047803
Credential Type Physician/Surgeon
Business Address 286 President St Apt 4
Brooklyn
NY 11231-4654
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-06-16
Effective Date 2010-03-01
Expiration Date 2011-02-28
Refresh Date 2011-06-01

Office Location

Street Address 286 PRESIDENT ST APT 4
City BROOKLYN
State NY
Zip Code 11231-4654

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City BROOKLYN
Zip Code 11231
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BROOKLYN

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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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