JENNIFER M CZIPRUSZ
Physician Assistant


Address: 16 Fuller Hollow Rd., Binghamton, NY 13903

JENNIFER M CZIPRUSZ (Credential# 743141) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2003. The license expiration date date is October 31, 2004. The license status is INACTIVE.

Business Overview

JENNIFER M CZIPRUSZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001392. The credential type is physician assistant. The effective date is October 1, 2003. The expiration date is October 31, 2004. The business address is 16 Fuller Hollow Rd., Binghamton, NY 13903. The current status is inactive.

Basic Information

Licensee Name JENNIFER M CZIPRUSZ
Credential ID 743141
Credential Number 23.001392
Credential Type Physician Assistant
Business Address 16 Fuller Hollow Rd.
Binghamton
NY 13903
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-10-01
Effective Date 2003-10-01
Expiration Date 2004-10-31
Refresh Date 2009-07-08

Office Location

Street Address 16 Fuller Hollow Rd.
City Binghamton
State NY
Zip Code 13903

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City Binghamton
Zip Code 13903
License Type Physician Assistant
License Type + County Physician Assistant + Binghamton

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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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