G O JENSEN
Physician/surgeon


Address: 116 Belridge Road, Bristol, CT 06010

G O JENSEN (Credential# 539851) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 5, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

G O JENSEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.010959. The credential type is physician/surgeon. The effective date is February 5, 2007. The expiration date is February 29, 2008. The business address is 116 Belridge Road, Bristol, CT 06010. The current status is inactive.

Basic Information

Licensee Name G O JENSEN
Credential ID 539851
Credential Number 1.010959
Credential Type Physician/Surgeon
Business Address 116 Belridge Road
Bristol
CT 06010
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1962-06-29
Effective Date 2007-02-05
Expiration Date 2008-02-29
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
795808 35.000556 Registered Sanitarian 1993-07-09 1996-01-29 - 1997-02-28 INACTIVE

Office Location

Street Address 116 BELRIDGE ROAD
City BRISTOL
State CT
Zip Code 06010

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Competitor

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City BRISTOL
Zip Code 06010
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BRISTOL

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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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