WISSAM M F CHATILA
Physician/surgeon


Address: 102b East Broadway, Milford, CT 06460

WISSAM M F CHATILA (Credential# 550658) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 2, 1994. The license expiration date date is September 30, 1995. The license status is INACTIVE.

Business Overview

WISSAM M F CHATILA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033059. The credential type is physician/surgeon. The effective date is August 2, 1994. The expiration date is September 30, 1995. The business address is 102b East Broadway, Milford, CT 06460. The current status is inactive.

Basic Information

Licensee Name WISSAM M F CHATILA
Credential ID 550658
Credential Number 1.033059
Credential Type Physician/Surgeon
Business Address 102b East Broadway
Milford
CT 06460
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-06-25
Effective Date 1994-08-02
Expiration Date 1995-09-30
Refresh Date 2009-07-08

Office Location

Street Address 102B EAST BROADWAY
City MILFORD
State CT
Zip Code 06460

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City MILFORD
Zip Code 06460
License Type Physician/Surgeon
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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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