PHI V TRAN
Physician/surgeon


Address: 14 Edgewater Ave, Shrewsbury, MA 01545

PHI V TRAN (Credential# 561410) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 27, 2007. The license expiration date date is August 31, 2008. The license status is INACTIVE.

Business Overview

PHI V TRAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043828. The credential type is physician/surgeon. The effective date is June 27, 2007. The expiration date is August 31, 2008. The business address is 14 Edgewater Ave, Shrewsbury, MA 01545. The current status is inactive.

Basic Information

Licensee Name PHI V TRAN
Credential ID 561410
Credential Number 1.043828
Credential Type Physician/Surgeon
Business Address 14 Edgewater Ave
Shrewsbury
MA 01545
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-09-22
Effective Date 2007-06-27
Expiration Date 2008-08-31
Refresh Date 2009-07-08

Office Location

Street Address 14 Edgewater Ave
City Shrewsbury
State MA
Zip Code 01545

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Geetanjali Virmani 31 Hawthorne Road, Shrewsbury, MA 01545 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Sara M Jaszczur 11 Turtle Creek Circle, Shrewsbury, MA 01545 Pharmacist 2020-02-01 ~ 2022-01-31
Michelle R Stumm 9 Sycamore Road, Shrewsbury, MA 01545 Registered Nurse 2020-08-01 ~ 2021-07-31
Mireya Wessolossky 9 Old Farm Circle, Shrewsbury, MA 01545 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Esther Kinuthia Po Box 4436, Shrewsbury, MA 01545 Registered Nurse 2020-05-01 ~ 2021-04-30
Pooja Laxminarayan Jangid 16 Thestland Dr., Shrewsbury, MA 01545 Physical Therapist ~
Laura A Ames 9 Chartwell Circle, Shrewsbury, MA 01545 Nursing Home Administrator 2020-06-01 ~ 2022-05-31
Grisham M Bryan 30 Stonybrook Lane, Shrewsbury, MA 01545 Casino Class I Employee 2019-12-03 ~ 2020-10-31
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Competitor

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City Shrewsbury
Zip Code 01545
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Shrewsbury

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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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