JORGE E. SILVA
Physician/surgeon


Address: 2 Ariel Court, Mystic, CT 06355

JORGE E. SILVA (Credential# 1166309) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2014. The license expiration date date is June 30, 2015. The license status is INACTIVE.

Business Overview

JORGE E. SILVA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052263. The credential type is physician/surgeon. The effective date is July 1, 2014. The expiration date is June 30, 2015. The business address is 2 Ariel Court, Mystic, CT 06355. The current status is inactive.

Basic Information

Licensee Name JORGE E. SILVA
Credential ID 1166309
Credential Number 1.052263
Credential Type Physician/Surgeon
Business Address 2 Ariel Court
Mystic
CT 06355
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2013-07-23
Effective Date 2014-07-01
Expiration Date 2015-06-30
Refresh Date 2015-10-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1177006 CSP.0055774 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-08-05 2013-08-05 - 2015-02-28 INACTIVE

Office Location

Street Address 2 Ariel Court
City Mystic
State CT
Zip Code 06355

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Competitor

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City Mystic
Zip Code 06355
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Mystic

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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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