CHARLES L LETTVIN
Physician/surgeon


Address: 50 Bywatyr Lane, Bridgeport, CT 06605

CHARLES L LETTVIN (Credential# 551946) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 3, 1998. The license expiration date date is May 31, 1999. The license status is INACTIVE.

Business Overview

CHARLES L LETTVIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034348. The credential type is physician/surgeon. The effective date is April 3, 1998. The expiration date is May 31, 1999. The business address is 50 Bywatyr Lane, Bridgeport, CT 06605. The current status is inactive.

Basic Information

Licensee Name CHARLES L LETTVIN
Credential ID 551946
Credential Number 1.034348
Credential Type Physician/Surgeon
Business Address 50 Bywatyr Lane
Bridgeport
CT 06605
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-03-24
Effective Date 1998-04-03
Expiration Date 1999-05-31
Refresh Date 2009-07-08

Office Location

Street Address 50 BYWATYR LANE
City BRIDGEPORT
State CT
Zip Code 06605

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City BRIDGEPORT
Zip Code 06605
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BRIDGEPORT

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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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