STEPHANIE A CHRISTENSEN
Physician/surgeon


Address: 16 Canborne Way, Madison, CT 06443

STEPHANIE A CHRISTENSEN (Credential# 549328) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 13, 1994. The license expiration date date is May 31, 1995. The license status is INACTIVE.

Business Overview

STEPHANIE A CHRISTENSEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031609. The credential type is physician/surgeon. The effective date is May 13, 1994. The expiration date is May 31, 1995. The business address is 16 Canborne Way, Madison, CT 06443. The current status is inactive.

Basic Information

Licensee Name STEPHANIE A CHRISTENSEN
Credential ID 549328
Credential Number 1.031609
Credential Type Physician/Surgeon
Business Address 16 Canborne Way
Madison
CT 06443
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1991-06-07
Effective Date 1994-05-13
Expiration Date 1995-05-31
Refresh Date 2009-07-08

Office Location

Street Address 16 CANBORNE WAY
City MADISON
State CT
Zip Code 06443

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City MADISON
Zip Code 06443
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MADISON

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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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