TATJANA BARISIC-DUJMOVIC
Physician/surgeon


Address: 10 G Talcott Forest Road, Newington, CT 06032

TATJANA BARISIC-DUJMOVIC (Credential# 1078286) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 27, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.

Business Overview

TATJANA BARISIC-DUJMOVIC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051117. The credential type is physician/surgeon. The effective date is September 27, 2019. The expiration date is September 30, 2020. The business address is 10 G Talcott Forest Road, Newington, CT 06032. The current status is active.

Basic Information

Licensee Name TATJANA BARISIC-DUJMOVIC
Credential ID 1078286
Credential Number 1.051117
Credential Type Physician/Surgeon
Business Address 10 G Talcott Forest Road
Newington
CT 06032
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2012-06-27
Effective Date 2019-09-27
Expiration Date 2020-09-30
Refresh Date 2019-10-02

Other licenses

ID Credential Code Credential Type Issue Term Status
945008 CSP.0048241 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2010-08-31 2015-03-01 - 2017-02-28 INACTIVE

Office Location

Street Address 10 G TALCOTT FOREST ROAD
City NEWINGTON
State CT
Zip Code 06032

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Competitor

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City NEWINGTON
Zip Code 06032
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEWINGTON

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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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