MARY A SHENIGO
Physician/surgeon


Address: 5773 Idana Ct, Westerville, OH 43081-8932

MARY A SHENIGO (Credential# 1173510) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 18, 2013. The license expiration date date is April 30, 2014. The license status is INACTIVE.

Business Overview

MARY A SHENIGO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052426. The credential type is physician/surgeon. The effective date is September 18, 2013. The expiration date is April 30, 2014. The business address is 5773 Idana Ct, Westerville, OH 43081-8932. The current status is inactive.

Basic Information

Licensee Name MARY A SHENIGO
Credential ID 1173510
Credential Number 1.052426
Credential Type Physician/Surgeon
Business Address 5773 Idana Ct
Westerville
OH 43081-8932
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2013-09-18
Effective Date 2013-09-18
Expiration Date 2014-04-30
Refresh Date 2014-08-03

Office Location

Street Address 5773 IDANA CT
City WESTERVILLE
State OH
Zip Code 43081-8932

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Competitor

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City WESTERVILLE
Zip Code 43081
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WESTERVILLE

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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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