DOUGLAS E MULLER
Physician Assistant


Address: 61-72 77th Street, Middle Village, NY 11379

DOUGLAS E MULLER (Credential# 742623) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 27, 2000. The license expiration date date is February 28, 2001. The license status is INACTIVE.

Business Overview

DOUGLAS E MULLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000874. The credential type is physician assistant. The effective date is March 27, 2000. The expiration date is February 28, 2001. The business address is 61-72 77th Street, Middle Village, NY 11379. The current status is inactive.

Basic Information

Licensee Name DOUGLAS E MULLER
Credential ID 742623
Credential Number 23.000874
Credential Type Physician Assistant
Business Address 61-72 77th Street
Middle Village
NY 11379
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-08-03
Effective Date 2000-03-27
Expiration Date 2001-02-28
Refresh Date 2009-07-08

Office Location

Street Address 61-72 77th Street
City Middle Village
State NY
Zip Code 11379

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Michael Piecora 61-51 70th Street, Middlevillage, NY 11379 Notary Public Appointment 2008-09-15 ~ 2013-09-30
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Competitor

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City Middle Village
Zip Code 11379
License Type Physician Assistant
License Type + County Physician Assistant + Middle Village

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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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