NINA T GENTILE
Physician/surgeon


Address: 165 Old Mill Rd, Middletown, CT 06457

NINA T GENTILE (Credential# 548196) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 23, 1992. The license expiration date date is July 31, 1993. The license status is INACTIVE.

Business Overview

NINA T GENTILE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030053. The credential type is physician/surgeon. The effective date is July 23, 1992. The expiration date is July 31, 1993. The business address is 165 Old Mill Rd, Middletown, CT 06457. The current status is inactive.

Basic Information

Licensee Name NINA T GENTILE
Credential ID 548196
Credential Number 1.030053
Credential Type Physician/Surgeon
Business Address 165 Old Mill Rd
Middletown
CT 06457
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1989-07-01
Effective Date 1992-07-23
Expiration Date 1993-07-31
Refresh Date 2009-07-08

Office Location

Street Address 165 OLD MILL RD
City MIDDLETOWN
State CT
Zip Code 06457

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Competitor

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City MIDDLETOWN
Zip Code 06457
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MIDDLETOWN

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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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