JOSEPH M MIRANDA MD
Physician/surgeon


Address: William Backus Hospital, Norwich, CT 06360

JOSEPH M MIRANDA MD (Credential# 555026) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 12, 1999. The license expiration date date is December 31, 2000. The license status is INACTIVE.

Business Overview

JOSEPH M MIRANDA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037436. The credential type is physician/surgeon. The effective date is October 12, 1999. The expiration date is December 31, 2000. The business address is William Backus Hospital, Norwich, CT 06360. The current status is inactive.

Basic Information

Licensee Name JOSEPH M MIRANDA MD
Credential ID 555026
Credential Number 1.037436
Credential Type Physician/Surgeon
Business Address William Backus Hospital
Norwich
CT 06360
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-12-11
Effective Date 1999-10-12
Expiration Date 2000-12-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
208126 CSP.0027809 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-01-05 - 2000-02-28 INACTIVE

Office Location

Street Address WILLIAM BACKUS HOSPITAL
City NORWICH
State CT
Zip Code 06360

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Competitor

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City NORWICH
Zip Code 06360
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NORWICH

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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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