SUMATHI SUPPIAH
Physician/surgeon


Address: 14 Hickory Dr, Greenwich, CT 06831-4916

SUMATHI SUPPIAH (Credential# 986843) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 30, 2011. The license expiration date date is July 31, 2012. The license status is INACTIVE.

Business Overview

SUMATHI SUPPIAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050267. The credential type is physician/surgeon. The effective date is August 30, 2011. The expiration date is July 31, 2012. The business address is 14 Hickory Dr, Greenwich, CT 06831-4916. The current status is inactive.

Basic Information

Licensee Name SUMATHI SUPPIAH
Credential ID 986843
Credential Number 1.050267
Credential Type Physician/Surgeon
Business Address 14 Hickory Dr
Greenwich
CT 06831-4916
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-08-30
Effective Date 2011-08-30
Expiration Date 2012-07-31
Refresh Date 2012-11-02

Office Location

Street Address 14 HICKORY DR
City GREENWICH
State CT
Zip Code 06831-4916

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Competitor

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City GREENWICH
Zip Code 06831
License Type Physician/Surgeon
License Type + County Physician/Surgeon + GREENWICH

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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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