MARVIN A SODERGREN OD
Optometrist


Address: 6 Pigeon Swamp Rd, Lebanon, CT 06249-1333

MARVIN A SODERGREN OD (Credential# 762472) is licensed (Optometrist) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2012. The license expiration date date is April 30, 2013. The license status is INACTIVE.

Business Overview

MARVIN A SODERGREN OD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #3.000714. The credential type is optometrist. The effective date is May 1, 2012. The expiration date is April 30, 2013. The business address is 6 Pigeon Swamp Rd, Lebanon, CT 06249-1333. The current status is inactive.

Basic Information

Licensee Name MARVIN A SODERGREN OD
Credential ID 762472
Credential Number 3.000714
Credential Type Optometrist
Business Address 6 Pigeon Swamp Rd
Lebanon
CT 06249-1333
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1969-09-04
Effective Date 2012-05-01
Expiration Date 2013-04-30
Refresh Date 2013-08-05

Other licenses

ID Credential Code Credential Type Issue Term Status
51670 CSP.0024836 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-03-01 - 2013-02-28 INACTIVE

Office Location

Street Address 6 PIGEON SWAMP RD
City LEBANON
State CT
Zip Code 06249-1333

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Competitor

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City LEBANON
Zip Code 06249
License Type Optometrist
License Type + County Optometrist + LEBANON

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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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