CARLA S ROTHAUS
Physician/surgeon


Address: 22 Berkeley Rd, Westport, CT 06880

CARLA S ROTHAUS (Credential# 549379) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 8, 1999. The license expiration date date is July 31, 2000. The license status is INACTIVE.

Business Overview

CARLA S ROTHAUS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031671. The credential type is physician/surgeon. The effective date is June 8, 1999. The expiration date is July 31, 2000. The business address is 22 Berkeley Rd, Westport, CT 06880. The current status is inactive.

Basic Information

Licensee Name CARLA S ROTHAUS
Credential ID 549379
Credential Number 1.031671
Credential Type Physician/Surgeon
Business Address 22 Berkeley Rd
Westport
CT 06880
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1991-06-28
Effective Date 1999-06-08
Expiration Date 2000-07-31
Refresh Date 2009-07-08

Office Location

Street Address 22 BERKELEY RD
City WESTPORT
State CT
Zip Code 06880

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Competitor

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City WESTPORT
Zip Code 06880
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WESTPORT

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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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