ANDREA C LIN
Physician/surgeon


Address: 9 N Gate Rd, Carmel, NY 10512-2213

ANDREA C LIN (Credential# 947641) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 9, 2010. The license expiration date date is June 30, 2011. The license status is INACTIVE.

Business Overview

ANDREA C LIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049190. The credential type is physician/surgeon. The effective date is September 9, 2010. The expiration date is June 30, 2011. The business address is 9 N Gate Rd, Carmel, NY 10512-2213. The current status is inactive.

Basic Information

Licensee Name ANDREA C LIN
Credential ID 947641
Credential Number 1.049190
Credential Type Physician/Surgeon
Business Address 9 N Gate Rd
Carmel
NY 10512-2213
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2010-09-09
Effective Date 2010-09-09
Expiration Date 2011-06-30
Refresh Date 2011-10-03

Office Location

Street Address 9 N GATE RD
City CARMEL
State NY
Zip Code 10512-2213

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Cynthia L Teeple 14 Laurel Mountain Ct, Carmel, NY 10512 Registered Nurse 2020-07-01 ~ 2021-06-30
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Valerie J Port 1311 Route #6, Carmel, NY 10512 Real Estate Salesperson 2019-09-11 ~ 2020-05-31
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Competitor

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City CARMEL
Zip Code 10512
License Type Physician/Surgeon
License Type + County Physician/Surgeon + CARMEL

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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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