KATHARINE H MARTIN
Physician/surgeon


Address: 709 A Heritage, Southbury, CT 06488

KATHARINE H MARTIN (Credential# 538522) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 23, 1995. The license expiration date date is May 31, 1996. The license status is INACTIVE.

Business Overview

KATHARINE H MARTIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.005673. The credential type is physician/surgeon. The effective date is March 23, 1995. The expiration date is May 31, 1996. The business address is 709 A Heritage, Southbury, CT 06488. The current status is inactive.

Basic Information

Licensee Name KATHARINE H MARTIN
Credential ID 538522
Credential Number 1.005673
Credential Type Physician/Surgeon
Business Address 709 A Heritage
Southbury
CT 06488
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1947-06-27
Effective Date 1995-03-23
Expiration Date 1996-05-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
147841 CSP.0000217 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1993-12-14 - 1996-01-01 INACTIVE

Office Location

Street Address 709 A HERITAGE
City SOUTHBURY
State CT
Zip Code 06488

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Jillian Jung 582 Patriot Rd, Southbury, CT 06488 Radiographer 2020-08-01 ~ 2021-07-31
Mary E Kohler 201 Old Highway, Southbury, CT 06488 Registered Nurse 2020-09-01 ~ 2021-08-31
Theresa K Bobak 266b Heritage Village, Southbury, CT 06488 Registered Nurse 2020-08-01 ~ 2021-07-31
Kelly Watson 800 Main Street South Suite 102, Southbury, CT 06488 Medication Administration Certification 2018-06-27 ~ 2020-06-26
Mcdonald's Rest #2104 44 Division St, Derby, CT 06488 Bakery 2020-07-01 ~ 2021-06-30
Shirley A Frager 5 West View Rd, Southbury, CT 06488 Registered Nurse 2020-07-01 ~ 2021-06-30
Maureen K Boyd 77 Shane Drive, Southbury, CT 06488 Physical Therapist 2020-09-01 ~ 2021-08-31
South Britain Oil LLC 424 Old Field Rd, Southbury, CT 06488 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Won Ju Lee 995 Old Field Rd, Southbury, CT 06488 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-26 ~ 2022-01-31
Mcdonald's Rest #27001 652 New Haven Ave, Derby, CT 06488 Bakery 2020-07-01 ~ 2021-06-30
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City SOUTHBURY
Zip Code 06488
License Type Physician/Surgeon
License Type + County Physician/Surgeon + SOUTHBURY

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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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