CALEB O PANIAMOGAN
Physician/surgeon


Address: 65 Renshaw Road, Hamden, CT 06518

CALEB O PANIAMOGAN (Credential# 538236) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 18, 2003. The license expiration date date is June 30, 2004. The license status is INACTIVE.

Business Overview

CALEB O PANIAMOGAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.000504-DO. The credential type is physician/surgeon. The effective date is April 18, 2003. The expiration date is June 30, 2004. The business address is 65 Renshaw Road, Hamden, CT 06518. The current status is inactive.

Basic Information

Licensee Name CALEB O PANIAMOGAN
Credential ID 538236
Credential Number 1.000504-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 65 Renshaw Road
Hamden
CT 06518
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-07-24
Effective Date 2003-04-18
Expiration Date 2004-06-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
212001 CSP.0028000 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2003-03-01 - 2004-02-28 INACTIVE

Office Location

Street Address 65 RENSHAW ROAD
City HAMDEN
State CT
Zip Code 06518

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Synthia Racki 65 Renshaw Road, Hamden, CT 06518 Emergency Medical Technician ~ 1994-07-01

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Lynda Burke 68 Linden Avenue, Hamden, CT 06518 Notary Public Appointment 2011-12-08 ~ 2016-12-31
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Competitor

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City HAMDEN
Zip Code 06518
License Type Physician/Surgeon
License Type + County Physician/Surgeon + HAMDEN

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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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