PENNEY HSIEH
Physician/surgeon


Address: 4234 Townplace Drive, Middletown, CT 06457

PENNEY HSIEH (Credential# 560192) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2004. The license expiration date date is July 31, 2005. The license status is INACTIVE.

Business Overview

PENNEY HSIEH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042610-DO. The credential type is physician/surgeon. The effective date is July 1, 2004. The expiration date is July 31, 2005. The business address is 4234 Townplace Drive, Middletown, CT 06457. The current status is inactive.

Basic Information

Licensee Name PENNEY HSIEH
Credential ID 560192
Credential Number 1.042610-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 4234 Townplace Drive
Middletown
CT 06457
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2004-07-01
Effective Date 2004-07-01
Expiration Date 2005-07-31
Refresh Date 2010-03-11

Office Location

Street Address 4234 Townplace Drive
City Middletown
State CT
Zip Code 06457

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City Middletown
Zip Code 06457
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Middletown

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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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