C A SMITH
Physician/surgeon


Address: Box 1524, Castle Afb, CA 95342

C A SMITH (Credential# 539923) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 3, 1996. The license expiration date date is April 30, 1997. The license status is INACTIVE.

Business Overview

C A SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.011179. The credential type is physician/surgeon. The effective date is May 3, 1996. The expiration date is April 30, 1997. The business address is Box 1524, Castle Afb, CA 95342. The current status is inactive.

Basic Information

Licensee Name C A SMITH
Credential ID 539923
Credential Number 1.011179
Credential Type Physician/Surgeon
Business Address Box 1524
Castle Afb
CA 95342
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1963-03-26
Effective Date 1996-05-03
Expiration Date 1997-04-30
Refresh Date 2009-07-08

Office Location

Street Address BOX 1524
City CASTLE AFB
State CA
Zip Code 95342

Competitor

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City CASTLE AFB
Zip Code 95342
License Type Physician/Surgeon
License Type + County Physician/Surgeon + CASTLE AFB

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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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