LOUIS F ANASTASIA MD
Physician/surgeon


Address: 25 Winthrop Street, Worcester, MA 01604

LOUIS F ANASTASIA MD (Credential# 553824) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 6, 1997. The license expiration date date is October 31, 1998. The license status is INACTIVE.

Business Overview

LOUIS F ANASTASIA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036232. The credential type is physician/surgeon. The effective date is November 6, 1997. The expiration date is October 31, 1998. The business address is 25 Winthrop Street, Worcester, MA 01604. The current status is inactive.

Basic Information

Licensee Name LOUIS F ANASTASIA MD
Credential ID 553824
Credential Number 1.036232
Credential Type Physician/Surgeon
Business Address 25 Winthrop Street
Worcester
MA 01604
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-07-25
Effective Date 1997-11-06
Expiration Date 1998-10-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
188725 CSP.0026044 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1997-09-04 - 1998-02-28 INACTIVE

Office Location

Street Address 25 WINTHROP STREET
City WORCESTER
State MA
Zip Code 01604

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City WORCESTER
Zip Code 01604
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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