MARTIN BERT LEON
Physician/surgeon


Address: 110 Irving St Nw, Washington, DC 20010-3017

MARTIN BERT LEON (Credential# 1074420) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 19, 1977. The license expiration date date is September 30, 1982. The license status is INACTIVE.

Business Overview

MARTIN BERT LEON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.018788. The credential type is physician/surgeon. The effective date is May 19, 1977. The expiration date is September 30, 1982. The business address is 110 Irving St Nw, Washington, DC 20010-3017. The current status is inactive.

Basic Information

Licensee Name MARTIN BERT LEON
Credential ID 1074420
Credential Number 1.018788
Credential Type Physician/Surgeon
Business Address 110 Irving St Nw
Washington
DC 20010-3017
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1977-05-19
Effective Date 1977-05-19
Expiration Date 1982-09-30
Refresh Date 2012-06-14

Office Location

Street Address 110 IRVING ST NW
City WASHINGTON
State DC
Zip Code 20010-3017

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City WASHINGTON
Zip Code 20010
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WASHINGTON

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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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