AJITH T MATHEW
Physician/surgeon


Address: 800 West St Unit 2310, Braintree, MA 02184-3866

AJITH T MATHEW (Credential# 1250026) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2015. The license expiration date date is May 31, 2016. The license status is INACTIVE.

Business Overview

AJITH T MATHEW is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053745. The credential type is physician/surgeon. The effective date is June 1, 2015. The expiration date is May 31, 2016. The business address is 800 West St Unit 2310, Braintree, MA 02184-3866. The current status is inactive.

Basic Information

Licensee Name AJITH T MATHEW
Credential ID 1250026
Credential Number 1.053745
Credential Type Physician/Surgeon
Business Address 800 West St Unit 2310
Braintree
MA 02184-3866
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2014-12-12
Effective Date 2015-06-01
Expiration Date 2016-05-31
Refresh Date 2016-09-03

Other licenses

ID Credential Code Credential Type Issue Term Status
284350 PTN.0004406 PHARMACY TECHNICIAN 2002-04-01 - 2003-03-31 INACTIVE

Office Location

Street Address 800 WEST ST UNIT 2310
City BRAINTREE
State MA
Zip Code 02184-3866

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Rosana J Mean 26 Alden Rd, Braintree, MA 02184 Pharmacist 2018-02-01 ~ 2020-01-31
Craig E Barnes 49 Dickerman Ln, Braintree, MA 02184 Professional Engineer 2020-02-01 ~ 2021-01-31
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Competitor

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City BRAINTREE
Zip Code 02184
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BRAINTREE

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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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