BLESSY JOHN
Resident Physician


Address: 95 Luciani Rd, Woodbridge, CT 06525-2316

BLESSY JOHN (Credential# 1490763) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 24, 2015. The license expiration date date is June 30, 2020. The license status is ACTIVE.

Business Overview

BLESSY JOHN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058865-RES. The credential type is resident physician. The effective date is June 24, 2015. The expiration date is June 30, 2020. The business address is 95 Luciani Rd, Woodbridge, CT 06525-2316. The current status is active.

Basic Information

Licensee Name BLESSY JOHN
Credential ID 1490763
Credential Number 1.058865-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 95 Luciani Rd
Woodbridge
CT 06525-2316
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-06-24
Effective Date 2015-06-24
Expiration Date 2020-06-30
Refresh Date 2019-05-16

Other licenses

ID Credential Code Credential Type Issue Term Status
1275149 CSP.0059770 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2015-07-14 2015-07-14 - 2017-02-28 INACTIVE

Office Location

Street Address 95 LUCIANI RD
City WOODBRIDGE
State CT
Zip Code 06525-2316

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Competitor

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City WOODBRIDGE
Zip Code 06525
License Type Resident Physician
License Type + County Resident Physician + WOODBRIDGE

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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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