FARA D BASS
Podiatrist


Address: 38 Larch Hill Road, Lawrence, NY 11559

FARA D BASS (Credential# 699072) is licensed (Podiatrist) with Connecticut Department of Consumer Protection. The license effective date is September 5, 1995. The license expiration date date is September 30, 1996. The license status is INACTIVE.

Business Overview

FARA D BASS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #19.000634. The credential type is podiatrist. The effective date is September 5, 1995. The expiration date is September 30, 1996. The business address is 38 Larch Hill Road, Lawrence, NY 11559. The current status is inactive.

Basic Information

Licensee Name FARA D BASS
Credential ID 699072
Credential Number 19.000634
Credential Type Podiatrist
Business Address 38 Larch Hill Road
Lawrence
NY 11559
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1994-09-16
Effective Date 1995-09-05
Expiration Date 1996-09-30
Refresh Date 2009-07-08

Office Location

Street Address 38 LARCH HILL ROAD
City LAWRENCE
State NY
Zip Code 11559

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Competitor

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City LAWRENCE
Zip Code 11559
License Type Podiatrist
License Type + County Podiatrist + LAWRENCE

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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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