MARY E BRADDOCK
Physician/surgeon


Address: 1 Bradley Cir, Enfield, CT 06082-3824

MARY E BRADDOCK (Credential# 1247519) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license expiration date date is April 30, 1992. The license status is INACTIVE.

Business Overview

MARY E BRADDOCK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029242. The credential type is physician/surgeon. The expiration date is April 30, 1992. The business address is 1 Bradley Cir, Enfield, CT 06082-3824. The current status is inactive.

Basic Information

Licensee Name MARY E BRADDOCK
Credential ID 1247519
Credential Number 1.029242
Credential Type Physician/Surgeon
Business Address 1 Bradley Cir
Enfield
CT 06082-3824
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1988-07-08
Expiration Date 1992-04-30
Refresh Date 2014-09-26

Office Location

Street Address 1 BRADLEY CIR
City ENFIELD
State CT
Zip Code 06082-3824

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Competitor

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City ENFIELD
Zip Code 06082
License Type Physician/Surgeon
License Type + County Physician/Surgeon + ENFIELD

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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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