TAL BURT
Physician/surgeon


Address: 248 Marlborough St, Boston, MA 02116

TAL BURT (Credential# 552801) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 6, 1996. The license expiration date date is October 31, 1997. The license status is INACTIVE.

Business Overview

TAL BURT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035208. The credential type is physician/surgeon. The effective date is August 6, 1996. The expiration date is October 31, 1997. The business address is 248 Marlborough St, Boston, MA 02116. The current status is inactive.

Basic Information

Licensee Name TAL BURT
Credential ID 552801
Credential Number 1.035208
Credential Type Physician/Surgeon
Business Address 248 Marlborough St
Boston
MA 02116
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1996-04-26
Effective Date 1996-08-06
Expiration Date 1997-10-31
Refresh Date 2009-07-08

Office Location

Street Address 248 MARLBOROUGH ST
City BOSTON
State MA
Zip Code 02116

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Competitor

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City BOSTON
Zip Code 02116
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BOSTON

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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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