MARCIA C LEATHAM
Physician/surgeon


Address: Sabedeco Court 43, Bonaire, Netherlands

MARCIA C LEATHAM (Credential# 546225) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 11, 2003. The license expiration date date is October 31, 2004. The license status is INACTIVE.

Business Overview

MARCIA C LEATHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026856. The credential type is physician/surgeon. The effective date is September 11, 2003. The expiration date is October 31, 2004. The business address is Sabedeco Court 43, Bonaire, Netherlands. The current status is inactive.

Basic Information

Licensee Name MARCIA C LEATHAM
Credential ID 546225
Credential Number 1.026856
Credential Type Physician/Surgeon
Business Address Sabedeco Court 43
Bonaire, Netherlands
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1985-11-04
Effective Date 2003-09-11
Expiration Date 2004-10-31
Refresh Date 2009-07-08

Office Location

Street Address Sabedeco Court 43
City BONAIRE, NETHERLANDS

Competitor

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City BONAIRE, NETHERLANDS
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BONAIRE, NETHERLANDS

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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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