ROSE ANIM-NANCE
Physician Assistant


Address: 191-24 116 Ave., St. Albans Queens, NY 11612

ROSE ANIM-NANCE (Credential# 743229) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 10, 2004. The license expiration date date is April 30, 2005. The license status is INACTIVE.

Business Overview

ROSE ANIM-NANCE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001480. The credential type is physician assistant. The effective date is June 10, 2004. The expiration date is April 30, 2005. The business address is 191-24 116 Ave., St. Albans Queens, NY 11612. The current status is inactive.

Basic Information

Licensee Name ROSE ANIM-NANCE
Credential ID 743229
Credential Number 23.001480
Credential Type Physician Assistant
Business Address 191-24 116 Ave.
St. Albans Queens
NY 11612
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2004-06-10
Effective Date 2004-06-10
Expiration Date 2005-04-30
Refresh Date 2009-07-08

Office Location

Street Address 191-24 116 Ave.
City St. Albans Queens
State NY
Zip Code 11612

Competitor

Search similar business entities

City St. Albans Queens
Zip Code 11612
License Type Physician Assistant
License Type + County Physician Assistant + St. Albans Queens

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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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