BEN HUR P MOBO
Physician/surgeon


Address: 4 Warner Drive, Darien, CT 06820

BEN HUR P MOBO (Credential# 556456) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2011. The license expiration date date is December 31, 2011. The license status is INACTIVE.

Business Overview

BEN HUR P MOBO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038868. The credential type is physician/surgeon. The effective date is January 1, 2011. The expiration date is December 31, 2011. The business address is 4 Warner Drive, Darien, CT 06820. The current status is inactive.

Basic Information

Licensee Name BEN HUR P MOBO
Credential ID 556456
Credential Number 1.038868
Credential Type Physician/Surgeon
Business Address 4 Warner Drive
Darien
CT 06820
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2000-07-13
Effective Date 2011-01-01
Expiration Date 2011-12-31
Refresh Date 2012-04-03

Office Location

Street Address 4 Warner Drive
City Darien
State CT
Zip Code 06820

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City Darien
Zip Code 06820
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Darien

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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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