JAN CARY KLETTER
Physician/surgeon


Address: 908 Clyde Ln, Philadelphia, PA 19128-1130

JAN CARY KLETTER (Credential# 1238398) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 12, 1987. The license expiration date date is January 31, 1989. The license status is INACTIVE.

Business Overview

JAN CARY KLETTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.028173. The credential type is physician/surgeon. The effective date is June 12, 1987. The expiration date is January 31, 1989. The business address is 908 Clyde Ln, Philadelphia, PA 19128-1130. The current status is inactive.

Basic Information

Licensee Name JAN CARY KLETTER
Credential ID 1238398
Credential Number 1.028173
Credential Type Physician/Surgeon
Business Address 908 Clyde Ln
Philadelphia
PA 19128-1130
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1987-06-12
Effective Date 1987-06-12
Expiration Date 1989-01-31
Refresh Date 2014-08-04

Office Location

Street Address 908 CLYDE LN
City PHILADELPHIA
State PA
Zip Code 19128-1130

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City PHILADELPHIA
Zip Code 19128
License Type Physician/Surgeon
License Type + County Physician/Surgeon + PHILADELPHIA

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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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