SEPANDE MOCHAVER
Physician/surgeon


Address: 81 Irving Pl Apt 3a, New York, NY 10003-2210

SEPANDE MOCHAVER (Credential# 903185) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 23, 2009. The license expiration date date is June 30, 2010. The license status is INACTIVE.

Business Overview

SEPANDE MOCHAVER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048278-DO. The credential type is physician/surgeon. The effective date is November 23, 2009. The expiration date is June 30, 2010. The business address is 81 Irving Pl Apt 3a, New York, NY 10003-2210. The current status is inactive.

Basic Information

Licensee Name SEPANDE MOCHAVER
Credential ID 903185
Credential Number 1.048278-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 81 Irving Pl Apt 3a
New York
NY 10003-2210
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-11-23
Effective Date 2009-11-23
Expiration Date 2010-06-30
Refresh Date 2010-10-06

Office Location

Street Address 81 IRVING PL APT 3A
City NEW YORK
State NY
Zip Code 10003-2210

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City NEW YORK
Zip Code 10003
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW YORK

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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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