JEFFREY L LOVALLO
Physician/surgeon


Address: 1011 Arlington Blvd, Arlington, VA 22209

JEFFREY L LOVALLO (Credential# 545218) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 25, 1993. The license expiration date date is July 31, 1994. The license status is INACTIVE.

Business Overview

JEFFREY L LOVALLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.024855. The credential type is physician/surgeon. The effective date is August 25, 1993. The expiration date is July 31, 1994. The business address is 1011 Arlington Blvd, Arlington, VA 22209. The current status is inactive.

Basic Information

Licensee Name JEFFREY L LOVALLO
Credential ID 545218
Credential Number 1.024855
Credential Type Physician/Surgeon
Business Address 1011 Arlington Blvd
Arlington
VA 22209
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1983-07-21
Effective Date 1993-08-25
Expiration Date 1994-07-31
Refresh Date 2009-07-08

Office Location

Street Address 1011 ARLINGTON BLVD
City ARLINGTON
State VA
Zip Code 22209

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Kristen L Reeve 1753 22nd St N, Arlington, VA 22209 Registered Nurse 2015-01-21 ~ 2015-10-31
Harold M Wilson 1613 N Quinn#304, Arlington, VA 22209 Professional Engineer 1992-04-11 ~ 1993-01-31
American Psychiatric Foundation Inc. 1000 Wilson Boulevard, Suite 1825, Arlington, VA 22209 Public Charity 2009-12-01 ~ 2010-11-30
Youth Venture Inc. 1700 North Moore Street, Suite 2000, Arlington, VA 22209 Public Charity 2008-08-06 ~ 2009-11-30
Alliance for Health Education and Development Inc. 1655 North Fort Myer Drive, Suite 700, Arlington, VA 22209 Public Charity ~
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City ARLINGTON
Zip Code 22209
License Type Physician/Surgeon
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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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