SANDRA B KATZ
Physician/surgeon


Address: P.o. Box 5615, Augusta, ME 04332

SANDRA B KATZ (Credential# 1610878) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1991. The license expiration date date is December 31, 1991. The license status is INACTIVE.

Business Overview

SANDRA B KATZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031388. The credential type is physician/surgeon. The effective date is March 1, 1991. The expiration date is December 31, 1991. The business address is P.o. Box 5615, Augusta, ME 04332. The current status is inactive.

Basic Information

Licensee Name SANDRA B KATZ
Credential ID 1610878
Credential Number 1.031388
Credential Type Physician/Surgeon
Business Address P.o. Box 5615
Augusta
ME 04332
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1991-03-01
Effective Date 1991-03-01
Expiration Date 1991-12-31
Refresh Date 2018-10-25

Office Location

Street Address P.O. BOX 5615
City AUGUSTA
State ME
Zip Code 04332

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Charles W Jones 1910 Thomas Ln, Augusta, GA 30904-5114 Architect 2020-08-01 ~ 2021-07-31
June Yowtak 2095 Willhaven Dr, Augusta, GA 30909 Resident Physician 2017-07-07 ~ 2021-06-30
Amd Medicom Inc 4049 Allen Station Rd Ste A, Augusta, GA 30906-8734 Wholesaler of Drugs, Cosmetics & Medical Devices 2020-07-01 ~ 2021-06-30
Augusta Medical Systems LLC 1027 Broad St, Augusta, GA 30901-1142 Wholesaler of Drugs, Cosmetics & Medical Devices 2020-07-01 ~ 2021-06-30
Kenny Susanto 1120 15th St, Augusta, GA 30912 Resident Physician 2020-07-01 ~ 2021-06-30
Elizabeth B Eubanks 2829 Lombardy Ct, Augusta, GA 30909-3901 Registered Nurse 2020-08-01 ~ 2021-07-31
Yumeris De Jesus Baez 2803 Ridgecrest Dr, Augusta, GA 30907-4821 Registered Nurse ~
Carrie Lynn Wimer 165 Queen Dr, Augusta, WV 26704-7643 Registered Nurse - Temporary 2020-04-30 ~ 2020-08-28
Richard J Raskin 15 Enterprise Dr, Augusta, ME 04330-7997 Physician/surgeon 2020-04-01 ~ 2021-03-31
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Competitor

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City AUGUSTA
Zip Code 04332
License Type Physician/Surgeon
License Type + County Physician/Surgeon + AUGUSTA

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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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