KAREN LOUISE MEDIN
Physician/surgeon


Address: 91 Steep Hollow Drive, Glastonbury, CT 06033

KAREN LOUISE MEDIN (Credential# 1424132) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.

Business Overview

KAREN LOUISE MEDIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056586. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 91 Steep Hollow Drive, Glastonbury, CT 06033. The current status is active.

Basic Information

Licensee Name KAREN LOUISE MEDIN
Credential ID 1424132
Credential Number 1.056586
Credential Type Physician/Surgeon
Business Address 91 Steep Hollow Drive
Glastonbury
CT 06033
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-06-22
Effective Date 2020-04-01
Expiration Date 2021-03-31
Refresh Date 2020-03-13

Other licenses

ID Credential Code Credential Type Issue Term Status
1425832 CSP.0065562 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2017-06-23 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 91 Steep Hollow Drive
City Glastonbury
State CT
Zip Code 06033

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Sophie C Gomez · Pirog 81 Three Mile Rd, Glastonbury, CT 06033 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Jennifer R Briones 90 Deerfield Drive, Glastonbury, CT 06033 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City Glastonbury
Zip Code 06033
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Glastonbury

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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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