LILIA M MORALLO
Physician/surgeon


Address: 222 Killey Ave D-18, Warwick, RI 02889

LILIA M MORALLO (Credential# 549051) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 9, 1994. The license expiration date date is June 30, 1995. The license status is INACTIVE.

Business Overview

LILIA M MORALLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031279. The credential type is physician/surgeon. The effective date is June 9, 1994. The expiration date is June 30, 1995. The business address is 222 Killey Ave D-18, Warwick, RI 02889. The current status is inactive.

Basic Information

Licensee Name LILIA M MORALLO
Credential ID 549051
Credential Number 1.031279
Credential Type Physician/Surgeon
Business Address 222 Killey Ave D-18
Warwick
RI 02889
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1990-12-21
Effective Date 1994-06-09
Expiration Date 1995-06-30
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
158085 CSP.0018868 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1992-12-07 - 1995-01-01 INACTIVE

Office Location

Street Address 222 KILLEY AVE D-18
City WARWICK
State RI
Zip Code 02889

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City WARWICK
Zip Code 02889
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WARWICK

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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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