MARK G MARTENS
Physician/surgeon


Address: 1815 Port O Call, Galveston, TX

MARK G MARTENS (Credential# 545791) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 29, 1984. The license expiration date date is May 31, 1988. The license status is INACTIVE.

Business Overview

MARK G MARTENS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026047. The credential type is physician/surgeon. The effective date is November 29, 1984. The expiration date is May 31, 1988. The business address is 1815 Port O Call, Galveston, TX. The current status is inactive.

Basic Information

Licensee Name MARK G MARTENS
Credential ID 545791
Credential Number 1.026047
Credential Type Physician/Surgeon
Business Address 1815 Port O Call
Galveston
TX
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1984-11-29
Effective Date 1984-11-29
Expiration Date 1988-05-31
Refresh Date 2009-07-08

Office Location

Street Address 1815 Port O Call
City Galveston
State TX

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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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