STACEY B LENDENER
Physician/surgeon


Address: 81 Fariview Avenue, Tarrytown, NY 10591

STACEY B LENDENER (Credential# 945662) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2013. The license expiration date date is January 31, 2014. The license status is INACTIVE.

Business Overview

STACEY B LENDENER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049348. The credential type is physician/surgeon. The effective date is February 1, 2013. The expiration date is January 31, 2014. The business address is 81 Fariview Avenue, Tarrytown, NY 10591. The current status is inactive.

Basic Information

Licensee Name STACEY B LENDENER
Credential ID 945662
Credential Number 1.049348
Credential Type Physician/Surgeon
Business Address 81 Fariview Avenue
Tarrytown
NY 10591
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2010-11-19
Effective Date 2013-02-01
Expiration Date 2014-01-31
Refresh Date 2014-05-06

Office Location

Street Address 81 Fariview Avenue
City Tarrytown
State NY
Zip Code 10591

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Competitor

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City Tarrytown
Zip Code 10591
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Tarrytown

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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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