PETER J MIOTTO
Physician/surgeon


Address: 159 Union Street, Marlborough, MA 01752

PETER J MIOTTO (Credential# 553638) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 3, 2000. The license expiration date date is October 31, 2001. The license status is INACTIVE.

Business Overview

PETER J MIOTTO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036046. The credential type is physician/surgeon. The effective date is October 3, 2000. The expiration date is October 31, 2001. The business address is 159 Union Street, Marlborough, MA 01752. The current status is inactive.

Basic Information

Licensee Name PETER J MIOTTO
Credential ID 553638
Credential Number 1.036046
Credential Type Physician/Surgeon
Business Address 159 Union Street
Marlborough
MA 01752
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-05-23
Effective Date 2000-10-03
Expiration Date 2001-10-31
Refresh Date 2009-07-08

Office Location

Street Address 159 UNION STREET
City MARLBOROUGH
State MA
Zip Code 01752

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William M Knowles 42 Lilac Circle, Marlborough, MA 01752 Professional Engineer 2020-02-01 ~ 2021-01-31
Diane Rahmig Karwoski 338 Stearns Road, Marlborough, MA 01752 Pharmacist 2020-02-01 ~ 2022-01-31
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Competitor

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City MARLBOROUGH
Zip Code 01752
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MARLBOROUGH

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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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