JONATHAN K WISE
Physician/surgeon


Address: 792 Mass Ave, Arlington, MA

JONATHAN K WISE (Credential# 541191) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 31, 1970. The license expiration date date is May 31, 1977. The license status is INACTIVE.

Business Overview

JONATHAN K WISE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.014640. The credential type is physician/surgeon. The effective date is August 31, 1970. The expiration date is May 31, 1977. The business address is 792 Mass Ave, Arlington, MA. The current status is inactive.

Basic Information

Licensee Name JONATHAN K WISE
Credential ID 541191
Credential Number 1.014640
Credential Type Physician/Surgeon
Business Address 792 Mass Ave
Arlington
MA
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1970-08-31
Effective Date 1970-08-31
Expiration Date 1977-05-31
Refresh Date 2009-07-08

Office Location

Street Address 792 Mass Ave
City Arlington
State MA

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City Arlington
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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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