LILLIANA HERNANDEZ VEGA
Physician/surgeon


Address: 141 Toll House Ln, Fairfield, CT 06825-1054

LILLIANA HERNANDEZ VEGA (Credential# 1281540) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

LILLIANA HERNANDEZ VEGA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054279. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 141 Toll House Ln, Fairfield, CT 06825-1054. The current status is active.

Basic Information

Licensee Name LILLIANA HERNANDEZ VEGA
Credential ID 1281540
Credential Number 1.054279
Credential Type Physician/Surgeon
Business Address 141 Toll House Ln
Fairfield
CT 06825-1054
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-06-23
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2020-01-31

Other licenses

ID Credential Code Credential Type Issue Term Status
1296367 CSP.0060780 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2015-06-26 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 141 TOLL HOUSE LN
City FAIRFIELD
State CT
Zip Code 06825-1054

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Competitor

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City FAIRFIELD
Zip Code 06825
License Type Physician/Surgeon
License Type + County Physician/Surgeon + FAIRFIELD

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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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