KATHLEEN L. HANNAN
Physician/surgeon


Address: 1022 Main St Apt 10, Branford, CT 06405-3761

KATHLEEN L. HANNAN (Credential# 1157705) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 1990. The license expiration date date is April 30, 1992. The license status is INACTIVE.

Business Overview

KATHLEEN L. HANNAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030887. The credential type is physician/surgeon. The effective date is July 1, 1990. The expiration date is April 30, 1992. The business address is 1022 Main St Apt 10, Branford, CT 06405-3761. The current status is inactive.

Basic Information

Licensee Name KATHLEEN L. HANNAN
Credential ID 1157705
Credential Number 1.030887
Credential Type Physician/Surgeon
Business Address 1022 Main St Apt 10
Branford
CT 06405-3761
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1990-07-01
Effective Date 1990-07-01
Expiration Date 1992-04-30
Refresh Date 2013-04-09

Office Location

Street Address 1022 MAIN ST APT 10
City BRANFORD
State CT
Zip Code 06405-3761

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Bridget J Jennings 159 Queach Road, Branford, CT 06405 Registered Nurse 2020-09-01 ~ 2021-08-31
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Cathleen Smith 50 First Avenue, Branford, CT 06405 Radiographer 2020-07-01 ~ 2021-06-30
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Competitor

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City BRANFORD
Zip Code 06405
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BRANFORD

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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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