MARI CARMEN ITURBE ORTIZ
Physician/surgeon


Address: 551 Glendale Ave, Bridgeport, CT 06606

MARI CARMEN ITURBE ORTIZ (Credential# 1381049) 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

MARI CARMEN ITURBE ORTIZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055842. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 551 Glendale Ave, Bridgeport, CT 06606. The current status is active.

Basic Information

Licensee Name MARI CARMEN ITURBE ORTIZ
Credential ID 1381049
Credential Number 1.055842
Credential Type Physician/Surgeon
Business Address 551 Glendale Ave
Bridgeport
CT 06606
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-10-21
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2020-02-10

Other licenses

ID Credential Code Credential Type Issue Term Status
1386077 CSP.0064254 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2016-10-26 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 551 Glendale Ave
City Bridgeport
State CT
Zip Code 06606

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Competitor

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City Bridgeport
Zip Code 06606
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Bridgeport

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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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