DIANE N BALLERINO-REGAN
Physician/surgeon


Address: Po Box 78336, Washington, DC 20013-9336

DIANE N BALLERINO-REGAN (Credential# 551528) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.

Business Overview

DIANE N BALLERINO-REGAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033929. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is Po Box 78336, Washington, DC 20013-9336. The current status is active.

Basic Information

Licensee Name DIANE N BALLERINO-REGAN
Credential ID 551528
Credential Number 1.033929
Credential Type Physician/Surgeon
Business Address Po Box 78336
Washington
DC 20013-9336
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1994-07-29
Effective Date 2020-05-01
Expiration Date 2021-04-30
Refresh Date 2020-03-23

Office Location

Street Address PO BOX 78336
City WASHINGTON
State DC
Zip Code 20013-9336

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Competitor

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City WASHINGTON
Zip Code 20013
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WASHINGTON

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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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