CHARLES W BOREN
Physician/surgeon


Address: Rt 2 Box 106, Pecos, NM 87552

CHARLES W BOREN (Credential# 539785) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 25, 1993. The license expiration date date is June 30, 1994. The license status is INACTIVE.

Business Overview

CHARLES W BOREN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.010722. The credential type is physician/surgeon. The effective date is May 25, 1993. The expiration date is June 30, 1994. The business address is Rt 2 Box 106, Pecos, NM 87552. The current status is inactive.

Basic Information

Licensee Name CHARLES W BOREN
Credential ID 539785
Credential Number 1.010722
Credential Type Physician/Surgeon
Business Address Rt 2 Box 106
Pecos
NM 87552
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1961-12-12
Effective Date 1993-05-25
Expiration Date 1994-06-30
Refresh Date 2009-07-08

Office Location

Street Address RT 2 BOX 106
City PECOS
State NM
Zip Code 87552

Competitor

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City PECOS
Zip Code 87552
License Type Physician/Surgeon
License Type + County Physician/Surgeon + PECOS

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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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